Conservative management of placenta accreta spectrum disorders: a retrospective cohort study - Scorecard - MDSpire

Conservative management of placenta accreta spectrum disorders: a retrospective cohort study

  • By

  • Simon Benoit Dubé

  • Dong Bach Nguyen

  • Cassandra Della Rocca

  • Jessica Papillon Smith

  • Fady W. Mansour

  • Srinivasan Krishnamurthy

  • Richard Brown

  • Andrew Zakhari

  • April 16, 2026

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Clinical Scorecard: Non-surgical Approaches to Managing Placenta Accreta Spectrum Disorders: A Retrospective Analysis

At a Glance

CategoryDetail
Condition
Key Mechanisms
Target PopulationPatients with a history of caesarean sections or other risk factors for PASD, including placenta previa.
Care Setting

Key Highlights

  • Fertility after conservative treatment has been demonstrated but carries risks of postpartum hemorrhage, sepsis, and delayed hysterectomy.

Guideline-Based Recommendations

Diagnosis

  • Utilize ultrasound and MRI for antepartum diagnosis of PASD, focusing on specific imaging criteria.

Management

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Conservative management can lead to successful retention of the uterus and potential for future pregnancies, but may involve complications.

        Clinical Best Practices

        • Counsel patients on the risks and benefits of conservative management, including potential complications.
        • Ensure thorough imaging and assessment prior to delivery.
        • Implement blood conservation strategies during surgical management.
        • Establish a follow-up care plan to monitor for complications post-treatment.

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