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It is hypothesized that the histologic finding of decidual scarcity in placenta accreta is not a cause but rather an end result of the recruitment of trophoblasts across the decidual\u2013placental interface in a maternal attempt at healing and\/or repair in the presence of uterine injury, disease, or malformation that accounts for the associated factors and course of the condition. \u00a9 2008 Wiley Periodicals, Inc. 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