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nta accreta spectrum in twin gestation and should consider it during ultrasonographic screening. Twin gestation conferred an increased risk for placenta accreta spectrum independent of measured risk factors, which may contribute to increased maternal morbidity in twin gestation compared with singleton gestation. Clinicians should be aware of the increased risk for placenta accreta spectrum in twin gestation and should consider it during ultrasonographic screening.In an effort to protect patients' reproductive rights, many states prohibit he