Long School of Medicine

Placenta Accreta Spectrum (PAS) Outside of the Centers for Excellence-Avoiding Clinical Catastrophes

Course Description

This online enduring program discusses Placenta Accreta Spectrum (PAS), the challenges that typically present with the disorder, the importance of an early diagnosis, and effective treatments for its multiple variations. PAS is defined in the presentation as an abnormal adherence of the placenta trophoblast to the uterine myometrium. PAS has three different variations: Accreta, Increta, and Precreta. These variations, if not treated appropriately, will cause Severe Maternal Morbidity (SMM). The incidence of PAS and SMM continue to rise in our region and surrounding areas. Research has shown that rural communities continue to experience greater maternal morbidity at a rate higher than what is seen in urban areas. The presenter discusses the correlation between C-sections and placental abnormalities recommending efforts to decrease caesarian sections. Research has shown that the C-section rate has increased by over twenty percent in the last twenty years, and the rate of vaginal birth after a C-section has steadily decreased in the same period of time. Suspicion and antenatal diagnosis remains the strongest tool to prevent PAS complications. Algorithm-based management of undiagnosed PAS results in less morbidity and mortality.

Target Audience

The target audience consists of anyone working in the subspecialty field of OB/GYN, Family Practice, operating room staff, etc. This course can be adjunct training for those in need for Placenta Accreta Spectrum training and education.

Learning Objectives

  • Review Epidemiology and Pathophysiology leading to P.A.S. incidence.
  • Antenatal triage and screening of P.A.S.
  • Management of undiagnosed, both stable and unstable, P.A.S. in the lower resource setting


Jessian Munoz, MD, PhD, MPH, FACOG, MFM
UT Health San Antonio

Financial Disclosures
Jessian Munoz, MD, PhD, MPH, FACOG, MFM has no relevant financial relationships with commercial interests to disclose

The planning committee members below do not have any relevant financial relationship to disclose:
Rebecca Terrazas, BSN, RN
Dolores Perry, MSN
Rachael Farner, MSN, RN
Patrick Ramsey, MD
Amy Quinn, MD
John Byrne, MD, MFM

Registration Information

No Charge

Physician Participation

Upon completion of viewing the online presentation, please follow the instructions at the end of the presentation to complete the evaluation. Once the evaluation is completed, the user will be provided the option to print their certificate.

Accreditation Statement

Continuing Medical Education Credit

As an ACCME-accredited CME provider, The UT Health Science Center San Antonio must ensure that its CME activities are independent of the control of commercial interests. All speakers and planning committee members for the UT Health Science Center San Antonio sponsored programs are expected to disclose (prior to the activity) all “relevant financial relationships” as financial relationships in any amount occurring within the past 24 months that create a conflict of interest. (“Relevant” financial interest or other relationships can include such things as grant or research support, employees, consultants, major stockholders, members of speaker bureau, etc.)

UT Health Science Center San Antonio and Rebecca Terrazas, course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The UT Health Science Center San Antonio and the University Health System. The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians

UT Health Science Center San Antonio designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Academy of Physician Assistants (AAPA), American Academy of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC) accepts certificates of attendance for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Healthcare professionals receiving a certificate of attendance should consult with their licensing board for information on applicability and acceptance

Credit may be obtained upon successful completion of the activity’s evaluation.