Management of placenta accreta spectrum (PAS) remains inconsistent globally, with major agreements on diagnostics and antenatal care but significant discrepancies in surgical methods and postnatal guidelines. A systematic review of 18 clinical practice articles from 2014 to 2024 reveals a consensus on key diagnostics, yet only 5.6% address the needs of low- and middle-income countries (LMICs). Despite universal recommendations for specialized center management and the critical role of prior cesarean deliveries as a risk factor, guidance on surgical and conservative management continues to vary, indicating a pressing need for standardized practices.

Source: JAMA Network Open