Placenta accreta spectrum (PAS) is classified by depth of invasion. Which FIGO 2018 classification grade corresponds to placenta percreta with invasion of the bladder wall?
- A Grade 3c ✓
- B Grade 3a
- C Grade 3b
- D Grade 4
Correct answer: A. Grade 3c
Explanation
The FIGO 2018 classification grades PAS as: Grade 1 (accreta — adherent, no invasion), Grade 2 (increta — invasion into myometrium), Grade 3a (percreta — invasion through serosa), Grade 3b (percreta with bladder involvement), and Grade 3c (percreta with other pelvic organ involvement). Bladder invasion specifically corresponds to Grade 3b. Early identification guides multidisciplinary surgical planning.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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