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Doctor insights on: Placenta Accreta Previous Uterine Surgery

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Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?

Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?

Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more

Placenta (Definition)

The placenta is an organ that connects the developing fetus to the uterine wall to allow nutrient uptake, waste elimination, and gas exchange via ...Read more


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Could placenta previa lead to placenta percreta?

Could placenta previa lead to placenta percreta?

PP can be percreta: A placenta prévia can invade the uterine and cervical tissues and be associated with a placenta increta and placenta percreta. ...Read more

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Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?

Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?

Talk to MD: Frequently, granulation tissue at the vaginal cuff will cause annoying vaginal bleeding. Easily corrected in the office. I know some people refer to a 'partial' hysterectomy incorrectly but if by partial you mean a supracervical or subtotal hyst, then your cervix is still present and that explains the bleeding easier. ...Read more

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28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?

28 wks pregnant, previous c section, placenta anterior, no acretta now- placenta is 4cm above c section scar. Could acretta still develop at this pt?

Yes but low risk: Acretta can develop even in women who have never had a c/section. Fortunately this is rare. The risk is much higher if the placenta is covering the prior c/section scar. With the placenta 4cm from the scar, your risk is very low (but not zero). Best wishes! ...Read more

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U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?

Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read more

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Can placenta accreta be missed at delivery?

Can placenta accreta be missed at delivery?

Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more

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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Heavy uterine bleeding 3 weeks pelvic/transvaginal  us  hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?

Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more

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Could uterine scarring from a previous c-section effect future pregnancies?

Could uterine scarring from a previous c-section effect future pregnancies?

Absolutely: Make sure you share you history of a c-section with your obstetrician or midwife. It can possibly affect your pregnancy, & will certainly affect your delivery. Many women do deliver after c-section with the right care if the incision was of the right type. It is a good idea to get a copy of the operative report for your c-section so that if you go into labor without warning you will have it. ...Read more

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What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more

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Surgerical uterus mesh fact, risk, is pregnancy possible with a mesh on uterus?

Surgerical uterus mesh fact, risk, is pregnancy  possible with a mesh on uterus?

I think...: ...Putting the mesh on in the first place was to enable you to be pregnant again; but you need to discuss this with the original surgeon who knows the details of the operation. ...Read more

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Transvaginal sonogram safe if placenta previa?

Transvaginal sonogram safe if placenta previa?

Yes.: A transvaginal sonogram is typically the best way to diagnose placenta previa. The exam should be gentle and fairly fast. There may be some spotting after the exam. But, it is considered safe. ...Read more

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Previous c section, placenta anterior 4-5 cm above scar, no acretta now but can it develop in 3rd trimester?

It may!: You need repeat sonograms during pregnancy to evaluate the situation. The problem would be if you develop placenta increta, or percreta because these could make your anatomy more difficult to deal with, especially if this would occur at the previous incision site! Be vigilant and know your situation! ...Read more

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Is uterine fibroid due to abortion?

No: Neither abortions nor miscarriages cause uterine fibroids. They are tumors of the smooth muscle of the uterus that develop in some women for unknown reasons. ...Read more

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What's the difference between partial placenta previa and placenta previa?

Distance form cervix: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read more

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Previous post partum haemorrage and c section, is vaginal birth an option instead?

Previous post partum haemorrage and c section, is vaginal birth an option instead?

Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes) . Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more

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Uterine wall- non secretory surface endometrium over myometrium. Uterine nodule - leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Uterine wall- non secretory surface endometrium over myometrium.   Uterine nodule -  leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Path report: Is this a biopsy? Are you bleeding? Results of a hysteroscopic procedure? Go to the post procedure follow up and discuss the next step with your gyn physician. ...Read more

Dr. Nikolaos Zacharias
104 doctors shared insights

Placenta Accreta (Definition)

Placenta actually attaches invasively to the uterine muscle rather than the uterine lining as it should. May not be able to be separated when ...Read more


Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more