Clinical review reveals increased placenta accreta spectrum risk in patients with multiple cesarean deliveries, highlighting the need for tailored surgical evaluation.
Morbidity increases with increasing number of successive cesarean deliveries, likely secondary to increasing rates of abnormal placentation, PAS, and worsening adhesive disease. Placental location in the context of low-lying placenta or placenta previa is important in determining PAS risk, especially in cases with an anterior component.
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White et al. (2025) studied this question.
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