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Correspondence| Volume 53, 103603, February 2023

Terminology for abnormally invasive placenta: still confusing

Published:October 19, 2022DOI:https://doi.org/10.1016/j.ijoa.2022.103603
      The management of placenta accreta spectrum (PAS) requires a multidisciplinary team approach. Severe bleeding during the surgery for PAS and some hemostatic procedures including vascular occlusion demand the special attention of anesthesiologists. Obstetric anesthesiologists and obstetricians should have a common and consistent terminology to describe this condition. Bloom et al.’s recent article in this journal is timely.
      • Broom M.A.
      • Bailey E.
      • Kearns R.J.
      • McMillan M.
      • McPeake J.
      Diagnostic terminology in Placenta Accreta Spectrum: a scoping review.
      I wish to highlight some important points in order to make things clearer for obstetric anesthesiologists.

      Abbreviations:

      FIGO (the International Federation of Gynecology and Obstetrics), PAS (placenta accreta spectrum)

      Keywords

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      References

        • Broom M.A.
        • Bailey E.
        • Kearns R.J.
        • McMillan M.
        • McPeake J.
        Diagnostic terminology in Placenta Accreta Spectrum: a scoping review.
        Int J Obstet Anesth. 2022; 51: 103572https://doi.org/10.1016/j.ijoa.2022.103572
        • Jauniaux E.
        • Ayres-de-Campos D.
        • Langhoff-Roos J.
        • et al.
        FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders.
        Int J Gynaecol Obstet. 2019; 146: 20-24https://doi.org/10.1002/ijgo.12761
        • Jauniaux E.
        • Kingdom J.C.
        • Silver R.M.
        A comparison of recent guidelines in the diagnosis and management of placenta accreta spectrum disorders.
        Best Pract Res Clin Obstet Gynaecol. 2021; 72: 102-116https://doi.org/10.1016/j.bpobgyn.2020.06.007
        • Jauniaux E.
        • Silver R.M.
        • Matsubara S.
        The new world of placenta accreta spectrum disorders.
        Int J Gynaecol Obstet. 2018; 140: 259-260https://doi.org/10.1002/ijgo.12433
        • Matsubara S.
        • Jauniaux E.
        Placenta accreta spectrum disorders: A new standardized terminology better defining the condition.
        J Obstet Gynaecol Res. 2018; 44: 1338-1339https://doi.org/10.1111/jog.13649
        • Matsubara S.
        Placenta accreta spectrum: “placenta accreta” is still used.
        Arch Gynecol Obstet. 2021; 303: 1629-1630https://doi.org/10.1007/s00404-020-05931-6