Book contents
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 Basic Sciences in Obstetrics
- Section 2 Early Pregnancy Problems
- Section 3 Fetal Medicine
- Section 4 Maternal Medicine
- Section 5 Intrapartum Care
- Section 6 Neonatal Problems
- Section 7 Placenta
- Chapter 62 The Placenta and Its Association with Fetal Growth
- Chapter 63 Placental Pathology
- Chapter 64 Placenta Accreta Spectrum Disorders
- Section 8 Public Health Issues in Obstetrics
- Section 9 Co-Morbidities during Pregnancy
- Index
- Plate Section (PDF Only)
- References
Chapter 64 - Placenta Accreta Spectrum Disorders
from Section 7 - Placenta
Published online by Cambridge University Press: 20 November 2021
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 Basic Sciences in Obstetrics
- Section 2 Early Pregnancy Problems
- Section 3 Fetal Medicine
- Section 4 Maternal Medicine
- Section 5 Intrapartum Care
- Section 6 Neonatal Problems
- Section 7 Placenta
- Chapter 62 The Placenta and Its Association with Fetal Growth
- Chapter 63 Placental Pathology
- Chapter 64 Placenta Accreta Spectrum Disorders
- Section 8 Public Health Issues in Obstetrics
- Section 9 Co-Morbidities during Pregnancy
- Index
- Plate Section (PDF Only)
- References
Summary
Placental adhesive spectrum disorders (PASD) are on the increase. Histologically, the placenta may be adherent to the myometrium without intervening decidua (acreta), invade the myometrium (increta) and/or extend beyond the myometrium and seen via the serosa of the uterus or invade into adjacent tissues like the bladder or parametrium (percreta). Since there are difficulties in defining each entity by ultrasound or by histology and also due to the possibility of histology showing different degrees of invasion in the same case, PASD is the term now commonly used and the previous terminology of morbidly adherent placenta is no longer used. The main contributor towards PSAD is previous caesarean section (CS). With the global increase in CS, the incidence of PASD and related morbidity and mortality is on the increase.
- Type
- Chapter
- Information
- The EBCOG Postgraduate Textbook of Obstetrics & GynaecologyObstetrics & Maternal-Fetal Medicine, pp. 518 - 524Publisher: Cambridge University PressPrint publication year: 2021