Vol 86, No 5 (2015)
ARTICLES
Placenta accreta: review and 3 case reports
Małgorzata Bińkowska, Michał Ciebiera, Grzegorz jakiel
DOI: 10.17772/gp/2430
·
Ginekol Pol 2015;86(5).
Vol 86, No 5 (2015)
ARTICLES
Abstract
Placenta accreta is characterized by excessive penetration of the villi into the myometrium, which obstructs its
correct separation during stage III of labor. That in turn leads to a potentially life-threatening maternal hemorrhage.
Until recently, this pathology has been a rare occurrence but currently it is fifty times more prevalent. Placenta
accreta is associated with high morbidity and the risk of maternal death, even despite advances in ultrasonographic
diagnostics, well-established surgical treatment, and multi-disciplinary medical care. A dramatic rise in the rates
of Cesarean section and intrauterine surgical procedure is considered to be the main factor responsible for the
growing incidence of placenta accreta. It is especially frequent in women after a Cesarean section and with placenta
previa covering the lower segment. A Cesarean section, combined with hysterectomy and application of various
techniques to limit massive bleeding, is usually performed between 34-36 weeks of pregnancy, before the onset of
labor. Three cases of placenta accreta are presented.
Abstract
Placenta accreta is characterized by excessive penetration of the villi into the myometrium, which obstructs its
correct separation during stage III of labor. That in turn leads to a potentially life-threatening maternal hemorrhage.
Until recently, this pathology has been a rare occurrence but currently it is fifty times more prevalent. Placenta
accreta is associated with high morbidity and the risk of maternal death, even despite advances in ultrasonographic
diagnostics, well-established surgical treatment, and multi-disciplinary medical care. A dramatic rise in the rates
of Cesarean section and intrauterine surgical procedure is considered to be the main factor responsible for the
growing incidence of placenta accreta. It is especially frequent in women after a Cesarean section and with placenta
previa covering the lower segment. A Cesarean section, combined with hysterectomy and application of various
techniques to limit massive bleeding, is usually performed between 34-36 weeks of pregnancy, before the onset of
labor. Three cases of placenta accreta are presented.
Keywords
abnormal placental invasion (API) / placenta accreta /
/ cesarean hysterectomy / peripartum hemorrhage /
Title
Placenta accreta: review and 3 case reports
Journal
Ginekologia Polska
Issue
Vol 86, No 5 (2015)
Page views
938
Article views/downloads
1811
DOI
10.17772/gp/2430
Bibliographic record
Ginekol Pol 2015;86(5).
Keywords
abnormal placental invasion (API) / placenta accreta /
/ cesarean hysterectomy / peripartum hemorrhage /
Authors
Małgorzata Bińkowska
Michał Ciebiera
Grzegorz jakiel
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