Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization

Theophilus Adu-Bredu; Rozi Aditya Aryananda; Sarah P. Walker; Yaw Gyanteh Owusu; Thorsten Braun; Hooman Soleymani majd; Pedro Viana Pinto; Olivier Morel; Abdalla Mousa; Helena C. Bartels; Ammar Al Naimi; Maddalena Morlando; Karin A. Fox; Sally L. Collins

doi:10.1111/aogs.70165

Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization

Theophilus Adu-Bredu
, Rozi Aditya Aryananda
, Sarah P. Walker
, Yaw Gyanteh Owusu
, Thorsten Braun
, Hooman Soleymani majd
, Pedro Viana Pinto
, Olivier Morel
, Abdalla Mousa
, Helena C. Bartels
, Ammar Al Naimi
, Maddalena Morlando
, Karin A. Fox
, Sally L. Collins

Research output: Contribution to journal › Comment/debate › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	560-567
Number of pages	8
Journal	Acta Obstetricia et Gynecologica Scandinavica
Volume	105
Issue number	4
DOIs	https://doi.org/10.1111/aogs.70165
State	Published - Apr 2026
Externally published	Yes

Keywords

caesarean delivery
dehiscence
placenta previa
ultrasound
uterine defect

ASJC Scopus subject areas

Obstetrics and Gynecology

Access to Document

10.1111/aogs.70165

Cite this

Adu-Bredu, T., Aryananda, R. A., Walker, S. P., Owusu, Y. G., Braun, T., Soleymani majd, H., Viana Pinto, P., Morel, O., Mousa, A., Bartels, H. C., Al Naimi, A., Morlando, M., Fox, K. A., & Collins, S. L. (2026). Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization. Acta Obstetricia et Gynecologica Scandinavica, 105(4), 560-567. https://doi.org/10.1111/aogs.70165

Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization. / Adu-Bredu, Theophilus; Aryananda, Rozi Aditya; Walker, Sarah P. et al.
In: Acta Obstetricia et Gynecologica Scandinavica, Vol. 105, No. 4, 04.2026, p. 560-567.

Research output: Contribution to journal › Comment/debate › peer-review

Adu-Bredu, T, Aryananda, RA, Walker, SP, Owusu, YG, Braun, T, Soleymani majd, H, Viana Pinto, P, Morel, O, Mousa, A, Bartels, HC, Al Naimi, A, Morlando, M, Fox, KA & Collins, SL 2026, 'Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization', Acta Obstetricia et Gynecologica Scandinavica, vol. 105, no. 4, pp. 560-567. https://doi.org/10.1111/aogs.70165

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abstract = "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.",

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AU - Fox, Karin A.

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AB - 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.

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KW - placenta previa

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Placenta accreta spectrum and uterine SCAR dehiscence: Distinct entities or a continuum? An expert debate and call for standardization

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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