Evidence map›Paper›PMID 41440925›Full record

ReviewJournal of developmental biology2025

Pathophysiology and Management of Placenta Accreta Spectrum.

Lana Shteynman, Genevieve Monanian, Gilberto Torres, Giancarlo Sabetta, Deborah M Li, Zhaosheng Jin, Tiffany Angelo, Bahaa E Daoud, Morgane Factor

Abstract readReview
In one paragraph

Review in Journal of developmental biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lana ShteynmanRenaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.
Genevieve MonanianDepartment of Anesthesiology, Stony Brook University, Stony Brook, NY 11794, USA.
Gilberto TorresRenaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.
Giancarlo SabettaRenaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.ORCID 0009-0006-7495-3009
Deborah M LiRenaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.ORCID 0009-0000-2365-8807
Zhaosheng JinDepartment of Anesthesiology, Stony Brook University, Stony Brook, NY 11794, USA.ORCID 0000-0002-2495-7048
Tiffany AngeloDepartment of Anesthesiology, Stony Brook University, Stony Brook, NY 11794, USA.
Bahaa E DaoudDepartment of Anesthesiology, Stony Brook University, Stony Brook, NY 11794, USA.
Morgane FactorDepartment of Anesthesiology, Stony Brook University, Stony Brook, NY 11794, USA.ORCID 0000-0002-8092-4937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Placenta Accreta Spectrum (PAS) disorders, including placenta accreta, increta, and percreta, are serious obstetric conditions characterized by abnormal placental adherence to the uterine wall. With increasing incidence, PAS poses significant risks, primarily through massive hemorrhage during or after delivery, often necessitating hysterectomy. Key risk factors include prior cesarean sections, uterine surgery, and placenta previa diagnosis. In this review, we will examine the pathophysiology of PAS, with a focus on the mechanisms underlying abnormal trophoblast invasion and defective decidualization. We will highlight the role of uterine scarring, extracellular matrix remodeling, dysregulated signaling pathways, and immune and vascular alterations in disrupting the maternal-fetal interface, ultimately predisposing to morbid placentation and delivery complications. We will also discuss the life-threatening complications of PAS, such as shock and multi-organ failure, which require urgent multidisciplinary intensive care, as well as the optimization of management through preoperative planning and intraoperative blood loss control to reduce maternal morbidity and mortality.

Indexed as

decidualizationepithelial-to-mesenchymal transition (EMT)extracellular matrix remodelingextravillous trophoblastsmaternal morbidityplacenta accreta spectrumpostpartum hemorrhagepreoperative planning

Identifiers

PMID41440925
PMCPMC12733690

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.