Which of the following is the most important risk factor for placenta accreta spectrum?
- A Advanced maternal age
- B Hypertensive disorders of pregnancy
- C Multiparity
- D Previous cesarean section with placenta previa ✓
Correct answer: D. Previous cesarean section with placenta previa
Explanation
The strongest risk factor for placenta accreta is placenta previa in a woman with a previous cesarean section. The combination of a scarred uterus and placenta implantation over the scar dramatically increases invasion risk. Advanced maternal age and multiparity are minor risk factors. Hypertensive disorders are not directly associated with accreta.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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