Placenta Accreta
Placenta accreta is a serious pregnancy complication where the placenta attaches too deeply and firmly to the uterine wall, causing potential difficulties during delivery. Typically, the placenta detaches from the uterine wall after childbirth. With placenta accreta, part or all of the placenta remains attached. This can cause severe blood loss after delivery.
Symptoms –
• Often asymptomatic until delivery
• Abnormal bleeding during pregnancy
• Failure of placenta to detach after childbirth
Causes –
• Previous uterine surgery (e.g., C-section)
• Scar tissue from previous surgeries
• Inflammation or damage to uterine lining
Types –
• Placenta Accreta: Placenta attaches to the uterine wall
• Placenta Increta: Placenta penetrates into the uterine muscle
• Placenta Percreta: Placenta penetrates through the uterine wall, potentially reaching nearby organs
Risk Factors –
• Previous C-section or uterine surgeries
• Maternal age over 35
• History of placenta accreta
• Multiple pregnancies
• Uterine abnormalities
Diagnosis –
• Ultrasound and prenatal imaging
• Magnetic Resonance Imaging (MRI) for accurate assessment
Complications –
• Severe bleeding during delivery
• Emergency hysterectomy
• Organ damage (bladder, bowel) in severe cases
Treatment –
• Careful planning with a multidisciplinary medical team
• Scheduled C-section or early induction to control bleeding
• Possible hysterectomy if bleeding cannot be controlled
Prevention –
• Avoid unnecessary C-sections or uterine surgeries
• Proper prenatal care and monitoring
• Discuss risk factors with healthcare provider
Prognosis –
• Early detection and proper management improve outcomes
• Close monitoring and expert medical care are crucial
Remember, placenta accreta is a serious condition requiring immediate medical attention. If you suspect you might be at risk or are experiencing symptoms, consult your healthcare provider promptly.
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