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Placenta Accreta

#Placenta accreta. #Hysterectomy. #Placenta Increta. #Placenta Pecreta. #Doppler. Till the Placenta is being delivered!!! Placenta accreta is a serious pregnancy condition that occurs when the placenta grows too deeply into the uterine wall. Typically the placenta detaches from the uterine wall after childbirth. With placenta accreta part or all of the placenta remains attached. what are the different types of placenta accreta. There are three types of placenta accreta. Providers determine the type based on how deeply the placenta is attached to your uterus. 1. Placenta accreta, the placenta firmly attaches to the wall of the uterus, it doesn't pass through the wall of the uterus or impact the muscles of the uterus this is the most common type. 2. Placenta increta. In this type the placenta is more deeply embedded in the wall of your uterus still doesn't pass through the uterine wall but is firmly attached to the muscle of the uterus placenta and accounts for about 15 percent of cases. 3. Placenta percreta. The most severe of the types placenta percreta happens when the placenta passes through the wall of your uterus. The placenta might grow through your uterus and impact other organs such as your bladder or intestines, it accounts for about five percent of cases this can cause severe blood loss after delivery. Placenta accreta is considered a high risk pregnancy complication. If the condition is diagnosed during pregnancy you likely need an early C-section delivery followed by the surgical removal of your uterus hysterectomy. This surgery is the most common and effective treatment for accreta after the birth of the baby this usually involves either the surgical removal of the placenta or a hysterectomy to remove the uterus along with the accreta. The ovaries are almost always left in place if a hysterectomy is performed. Placenta accreta often causes no signs or symptoms during pregnancy although bleeding during the third trimester might occur occasionally. Placenta accreta is detected during a routine ultrasound. Placenta accreta is thought to be related to abnormalities in the lining of the uterus typically due to scarring after a c-section or other uterine surgery sometimes. However placenta accreta occurs without a history of uterine surgery, risk factors. Many factors can increase the risk of placenta accreta including one previous uterine surgery 1. The risk of placenta accreta increases with the number of C-sections or other uterine surgeries you've had. 2. Placenta position. If the placenta partially or totally covers your cervix placenta previa or sits in the lower portion of your uterus you're at increased risk of placenta accreta. 3.Maternal age. Placenta accreta is more common in women older than 35. 4. Previous childbirth. The risk of placenta accreta increases as your number of pregnancies increases. Complications of placenta accreta can cause a heavy vaginal bleeding. Placenta accreta poses a major risk of severe vaginal bleeding, hemorrhage after delivery. The bleeding can cause a life-threatening condition that prevents your blood from clotting nomally, (disseminated intravascular coagulopathy), as well as lung failure, adult respiratory distress syndrome and kidney failure. A blood transfusion will likely be necessary. Placenta accreta might cause labour to begin early. If placenta accreta causes bleeding during your pregnancy you might need to deliver your baby early. Meaning placenta accreta often leads to preterm birth. Preterm birth carries risks such as respiratory problems or trouble gaining weight and babies born before 37 weeks of pregnancy have have a higher risk of being admitted to a neonatal intensive care unit for specialized treatment. Now after all the lectures how do you diagnose placenta accreta with ultrasound. Placenta accreta represents the abnormal attachment of the placenta to the uterine lining due to an absence of the Deciduous bacillus and an incomplete development of the fbrinoid layer. Ultrasound findings suggestive of accreta include: 1. Placental accunid. 2. Myometrial thinning to less than one millimeter. 3. The loss of a placental uterine interface and 4. An abnormal uterine bladder interface thus colour and 3D Doppler ultrasound is also helpful in diagnosing placenta accreta. For example, an ultrasound may detect increased vascularity or blood flow that is beyond normal. Thank you.