Placenta Accreta

Question 1

Types of placenta accreta

Answer 1

1.) Accreta

2.) Increta

3.) Pancreta/Percreta

Question 2

1.) Placenta adheres to myometrium with no intervening decidua

2.) Placenta is within (surrounded by) the myometrium

3.) Placenta tissue is extrauterine or on the uterine serosa

Answer 2

1.) Accreta

2.) Increta

3.) Percreta

Question 3

Causes:

Answer 3

1.) Abnormalities in the lining of the uterus

2.) Hx of CS delivery

Question 4

Risk Factors

Answer 4

•previous uterine
surgery

•placenta position

•maternal age

•previous childbirth

•uterine conditions

•presence of tumor

Question 5

Signs and Symptoms

Answer 5

1.) No signs or symptoms during pregnancy

2.) Vaginal bleeding during the third trimester (23 to 40 weeks)

3.) Labor and delivery massive bleeding

Question 6

Diagnostics tests:

Answer 6

Imagine tests
~Ultrasound
~ MRI

Blood Tests
~ Alpha fetoprotein

Question 7

Treatment medical management

Answer 7

1.) Placenta is left in the uterus and the cord ligated

2.) Closure of the uterus is preformed

3.) Methotrexate (Destroy remaining placenta)

Question 8

Complications

Answer 8

1.) Uterine rupture

2.) Heavy vaginal bleeding premature

3.) Disseminated Intravascular coagulation (DIC)

Question 9

THERE IS NO WAY TO PREVENT PLACENTA ACCRETA

Question 10

A serious pregnancy condition that occurs when blood vessels and other parts of the placenta grow too deeply into the uterine wall

Answer 10

Placenta Accreta