Placenta accreta

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
  • Low lying placenta
  • Placenta previa
  • Grand multiparity
  • Asherman syndrome