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Placenta Accreta Spectrum Care in Middle-Resource Settings

  • Albaro J. Nieto-Calvache*
  • , José M. Palacios-Jaraquemada
  • , Rozi A. Aryananda
  • , Ahmed M. Hussein
  • *Corresponding author for this work
  • Fundación Valle del Lili
  • Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno
  • Universitas Airlangga
  • Cairo University

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Management of the placenta accreta spectrum (PAS) in resource-limited settings poses significant challenges. Traditional approaches, which often involve hysterectomy and extensive technology in all the patients are being replaced by individualized treatment plans considering each patient's specific clinical situation, available resources, and team expertise. Using ultrasonographic and surgical staging based on PAS topographic classification can help design tailored surgical plans and optimize resource use. This article explores the need for personalized PAS management, safe surgical option selection, and how medical teams can adapt to provide more versatile treatment options in resource-constrained environments.
Original languageEnglish
Pages (from-to)290-300
Number of pages11
JournalClinical obstetrics and gynecology
Volume68
Issue number2
Early online date2025
DOIs
Publication statusPublished - 1 Jun 2025
Externally publishedYes

Keywords

  • Low- and middle-income countries
  • placenta accreta
  • resource-limited settings
  • telehealth
  • telemedicine

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