BookSherif A. Shazly, Ahmed A. Nassr, editors.
Summary: Placenta accreta spectrum (PAS), an obstetric emergency associated with significant maternal morbidity and mortality, has increasingly become a global challenge with the rising trend of cesarean deliveries. This book provides a comprehensive review of basic science-related to PAS, discusses modern practice in diagnosis and classification of PAS disorders, and appraise current recommendations on PAS management in view of recent studies, guidelines, and expert opinions. In the last few years, there have been many new updates to practice guidelines including ACOG, RCOG, and FIGO guidelines in addition to several new studies, some of which were unusually multicenter and of large sample size, that are eligible to make major changes in our PAS practice. In addition, the book aims at providing more comprehensive review of all aspects related to PAS from experts, including topics that are deficient in similar books e.g., vascular anatomy, risk reduction, adjuvant treatments. The book provides a single source that provides academic knowledge for researchers and investigators, and clinical guidance to best practice and recent updates in management of women with PAS.
Contents:
Intro
Contents
Contributors
Chapter 1: History of Placenta Accreta Spectrum
References
Chapter 2: Epidemiology of Placenta Accreta Spectrum: A Comprehensive Review of Current Evidence
Introduction
Definition and Terminology
Incidence and Increasing Trend Globally
Morbidity and Mortality
Risk Factors
Caesarean Section
Placenta Praevia
Advanced Maternal Age
Assisted Reproductive Technologies
Previous Gynaecological History
Previous Obstetric History
Management
Conclusion
References
Chapter 3: Pathogenesis of Placenta Accreta Spectrum Introduction
Clinicopathology Classification
Vascular Classification
Placental-Type Invasion
Type 1
Type 2
Type 3
Type 4
Type 5
Placental Mapping for Prenatal Diagnosis of Placenta Accreta Spectrum Grading
Conclusion
References
Chapter 6: Diagnosis of Placenta Accreta Spectrum: Clinical and Radiological Diagnosis of Placenta Accreta Spectrum and the Ability of Sonographic and MRI Findings to Predict Definitive Diagnosis
The Importance of Antenatal Diagnosis of Placenta Accreta Spectrum
Antenatal Diagnosis: Role of Different Imaging Modalities First Trimester Imaging
Second or Third Trimester Ultrasound Evaluation
MRI Evaluation
Special Considerations
References
Chapter 7: Definitive Management of Placenta Accreta Spectrum
Introduction
Preoperative Preparation
Anaesthesia
Surgical Management of an Antenatally Suspected Case
Surgical Management of an Unexpected Case
Postoperative Considerations
Surgical Morbidity
Psychological Impact
Conclusion
References
Chapter 8: Conservative Management of Placenta Accreta Spectrum
Definition
Risk Factors
Clinical Presentation and Diagnosis Management
Timing of Delivery
Cesarean Delivery and Hysterectomy
Conservative Management
Follow-Up After Conservative Management
Long-Term Considerations
References
Chapter 9: Adjunctive Treatment of Placenta Accreta Spectrum
Introduction
Surgical Control of Bleeding
Uterine Artery Embolization
Internal Iliac Artery Ligation
Endovascular Balloon Occlusion of the Pelvic Circulation
Uterine Compression Sutures
Use of Tranexamic Acid
Investigational Therapies
High-Intensity Focused Ultrasound
Methotrexate
Conclusions
References