Placenta accreta

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Background

  • Placenta accreta - superficial attachment to myometrium, uterus is possibly savable without hysterectomy
  • Usually requires hysterectomy
    • Placenta increta - invasion of myometrium
    • Placenta percreta - penetrates myometrium, into serosa, possibly bladder
  • Associated with Placental abruption
  • Risk factors:
    • Prior C-section
    • Other uterine surgery