Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization
Placenta accreta spectrum and uterine scar dehiscence in cases of low-lying or previa placentas have become an issue of intense debate among experts due to their common etiological origin. Some authors argue both conditions as a continuum while others maintain their distinct nature, while acknowledging both conditions could occur simultaneously. This ongoing debate has significant implications for diagnosis, patient counseling, and management. In this article, we present both sides of this debate, discuss diagnostic and management challenges, and call for standardization of terminology.
Authors
- Yaw Gyanteh Owusu
- S. Collins
- A Al Naimi
- Pedro Viana Pinto (ORCID: https://orcid.org/0000-0002-3794-3833)
- Abdalla Mousa (ORCID: https://orcid.org/0000-0001-7260-8363)
- Michael Maddalena
- K. D. Fox
- Rozi Aditya Aryananda
- Hooman Soleymani majd
- Olivier Morel
- Sarah P. Walker
- Theophilus Adu‐Bredu
Institutions
- Goethe University Frankfurt (DE)
- Mount Sinai Hospital (CA)
- Cairo University (EG)
- Inserm (FR)
- Baylor College of Medicine (US)
- University of Campania "Luigi Vanvitelli" (IT)
- Universitas Airlangga (ID)
- Komfo Anokye Teaching Hospital (GH)
- Hospital de São João (PT)
- Humboldt-Universität zu Berlin (DE)
- University of Oxford (GB)
- Imagerie Adaptative Diagnostique et Interventionnelle (FR)
- University Hospital Frankfurt (DE)
- Birmingham Women’s and Children’s NHS Foundation Trust (GB)
- Université de Lorraine (FR)
Publication Details
- Journal
- Acta Obstetricia Et Gynecologica Scandinavica
- Published
- 2026-02-11
- DOI
- https://doi.org/10.1111/aogs.70165
- Primary Topic
- Maternal and fetal healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00