A serious pregnancy condition which occurs when blood vessels and other parts of the placenta grow too deeply into the uterine wall is called placenta accreta. Normally the placenta will be removed from the uterine wall after childbirth but with this condition the placenta is still attached and may cause severe blood loss after delivery.
It is also possible that the placenta will grow through the uterine wall (placenta percreta) or will go to the muscles of the uterus (placenta increta). You will need a C-section delivery then a hysterectomy.
There are no signs and symptoms of placenta accreta but sometimes they can be vaginal bleeding within the third semester during pregnancy and it can be seen in an ultrasound. Consult your doctor right away if there is vaginal bleeding.
Placenta accreta is thought to be caused by abnormalities in the lining of the uterus, typically due to scarring after a C-section or other uterine surgery.
Even without the history of uterine surgery, placenta accreta can still occur.
4 Making a Diagnosis
Making a diagnosis of Placenta Accreta is done by performing several tests.
Consult your doctor right away if you have vaginal bleeding within your third semester.
Before visiting your doctor, ask him if there are restrictions that you need to do before the visit. Ask a family member or a close friend to accompany you and support you to the hospital.
Some of the questions that you can ask your doctor include:
What is causing my symptoms?
Do I still need tests?
What treatments do you recommend?
Will I be able to deliver normally?
What follow-up care will I do all throughout my pregnancy?
The most common course of treatment for Placenta Accreta is to have a C-section.
Your doctor will likely conduct a C-section to prevent blood loss if the placenta remains attached after delivery followed by the surgical removal of the uterus (hysterectomy) as early as the week 34 of pregnancy.
Your doctor might include an obstetrical surgeon, anesthesiologist and a pelvic surgeon, and also a neonatologist to treat your baby. C-section will be done by cutting your abdomen and a second incision in your uterus, then after delivering the baby your doctor will remove the uterus to prevent bleeding. You will not become pregnant again after the hysterectomy.
If you choose to allow the placenta and uterus to remain intact and wait for the placenta to dissolve, you may have serious complications such as:
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