Obstetrics & Gynaecology · Antepartum and Postpartum Hemorrhage

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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