Placenta accreta spectrum Quiz: Ace Your Exams
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A 39-year-old woman, gravida 3, para 2, at 20 weeks’ gestation with dichorionic twins presents for a routine prenatal ultrasound. The patient struggled to conceive and ultimately became pregnant using assisted reproductive technology (ART). Obstetrical history includes two prior uncomplicated cesarean births over 10 years ago with a previous partner. A 6 cm subserosal pedunculated uterine fibroid was laparoscopically removed 3 years ago. The patient is asymptomatic and appears well. The ultrasound shows normal anatomy in both fetuses. The placenta of fetus A invades into the myometrium. Which of the following historical features is this patient’s most significant risk factor for the suspected placental complication?
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