Top
20
Doctor insights on: Signs Of Placenta Accreta

Share
1

1
What is the cause of placenta accreta?

What is the cause of placenta accreta?

Uterine scars/defect: The placenta tends to implant over pre-existing uterine scars or defects; when that occurs, the invasive nature of the placenta can lead to abnormally increased vascularity in areas without sufficient uterine muscle to control the bleeding once the placenta is delivered (particularly near the cervix). That is potentially life-threatening if undiagnosed until delivery and managed in small hospital!

See 1 more doctor answer

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


2

2
What are the tests for placenta accreta?

What are the tests for placenta accreta?

Ultrasound, Doppler.: The provisional working diagnosis is achieved prenatally with history taking and a targeted ultrasound examination by an expert in the field. Mri is not generally helpful, unless the placental invasion is posteriorly. The final diagnosis is made by pathological examination of the uterus and placenta en bloc after a cesarean hysterectomy.

See 1 more doctor answer
3

3
What are the symptoms of placenta accreta?

What are the symptoms of placenta accreta?

Only at delivery: There are no symptoms during the pregnancy. Accreta presents with a placenta that will not detach after the infant is born. If the placenta is manually removed or removed under traction there is a great deal of bleeding, which may require surgery and possibly a hysterectomy. Accretas can sometimes be diagnosed prior to delivery via ultrasound or mri.

See 1 more doctor answer
4

4
What makes it likely to have placenta accreta?

What makes it likely to have placenta accreta?

Uterine scarring: Women with a history of fibroid surgery or previous ceasarean whose placenta implants on scar tissue have a small, but present potential for the placenta to dig in too deeply. It can just happen de novo, too.

See 1 more doctor answer
5

5
What is the definition or description of: Placenta accreta?

What is the definition or description of: Placenta accreta?

Abnormal: Placenta actually attaches invasively to the uterine muscle rather than the uterine lining as it should.
May not be able to be separated when the baby is born.

6

6
My sister has developed placenta accreta. What is it exactly?

Placenta accreta: A placenta accreta develops when the placenta invades or grows into the muscular layer of the uterus. With invasion of the muscle, detachment of the placenta after birth of the infant cannot occur. Retention of the placenta can lead to a postpartum hemorrhage. To remove the placenta, the uterus is usually removed after delivery of the infant.

See 1 more doctor answer
7

7
What is the best way of managing placenta accreta and percreta?

Resorption: If placenta percreta/accreta is recognized at the time of delivery and there is no bleeding then allowing the uterus to contract and retained placenta to be excreted or absorbed later on its' own volition is a wise course. However, if there is massive uncontrollable bleeding then cesarean hysterectomy is the "default" choice. Uterine balloon "packing" can be also be tried to arrest bleeding.

See 2 more doctor answers
8

8
If someone has a focal placenta accreta can it detach and come out on its own? Have you ever heard of this? Or would this be unusual?

Placenta Accreta: Placenta Accreta usually occurs when the placenta attaches to a scar from a previous cesarean section. If the placenta grows into the scar it is called placenta increta. If it grows through the wall of the uterus it is called placenta percreta. These are serious problems which can lead to a cesarean hysterectomy. The diagnosis is suspected by ultrasound or MRI. A focal accreta could detach.

9

9
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.

10

10
Can placenta accreta have negative effects on my baby?

Can placenta accreta have negative effects on my baby?

Yes - prematurity,: Placenta previa/accreta typically leads to preterm contractions and rupture of membranes requiring delivery before 37 weeks. Thus, the minor risk is for mild prematurity for the fetus/neonate. The main risk is maternal and can prove lethal if the diagnosis is not prenatally suspected and appropriate expert care is not sought in a timely fashion.

See 1 more doctor answer
11

11
How long does bleeding associated with placenta accreta last?

How long does bleeding associated with placenta accreta last?

Massive, brief.: Profuse, life-threatening bleeding occurs suddenly if the placenta is allowed or forced to separate from the uterus in cases of accretism. Unless this is promptly and expertly treated with hysterectomy, maternal death from exsanguination occurs soon. Accreta bleeding is not chronic. Delivery at tertiary hospital/trauma center with large blood bank and mfm gyn oncologist surgical care is needed!

12

12
Can MRI help diagnose placenta accreta?

Can MRI help diagnose placenta accreta?

Yes: Sometimes it is superior to sonography for this diagnosis.

See 1 more doctor answer
13

13
Are subchorionic hematomas and placenta accreta related? Do you typically see them together?

Are subchorionic hematomas and placenta accreta related? Do you typically see them together?

Different things: These are distinctly different things. A subchorionic hematoma is a collection of blood in the layer between the membranes and the placenta. It is typically found in the 1st trimester when someone experiences bleeding. A placenta accreta is when the placenta is attached too deeply into the uterine wall. You could have both things but they are not typically related.

14

14
How often does placenta accreta go undiagnosed even after a csection delivery?

Placenta accreta: A previously undiagnosed placenta accrete may be diagnosed at the time of a cesarean section. This would occur when the OB is trying to remove the placenta but cannot because it is attached (accreta). On the other hand, if the placenta detaches easily, the uterine cavity is always explored so it would be rare to have an attached placenta left behind but a focal placenta accrete could be missed.

15

15
Can you detect placenta accreta on an 18 obstetrical week ultrasound? My midwife says you can't see pa, but it was my understanding that you could.

You certainly can!: Expert eyes can discern the tell-tale signs of placenta accreta as early as the first trimester - in fact recent evidence suggests that is the best time to detect this potentially life-threatening complication of pregnancy. It is certainly possible to diagnose accreta at 18 weeks - I have done it repeatedly and confirmed it at delivery.

See 1 more doctor answer
16

16
Why am I still hurting after having a baby 9 months ago? I was diagnosed with placenta accreta after the birth of my child my doctor didn't do surgery to remove it he just pulled it out was he suppose to do that?

Confused..: Your information is a little confusing to me; are you concerned about long-term pain from your delivery, or asking whether the management of placenta accreta was appropriate in your case? Please clarify. Any time pain persists that far out after delivery it is abnormal and merits examination by a gynecologist. Standard management of suspected placenta accreta is prelabor cesarean hysterectomy @35w.

See 1 more doctor answer
17

17
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.

18

18
? How is placenta acreta? Treated or cured?

? How is placenta acreta? Treated or cured?

Cesarean hysterectom: Planned prelabor repeat cesarean section by 34-35 weeks after Betamethasone administration without attempt at placental delivery is the treatment of choice! This should only be undertaken in a tertiary care hospital in concert with maternal-fetal medicine, gynecology-oncology, urology, blood bank, perinatal anesthesia, general surgery and neonatology - to minimize the risk of maternal death.

19

19
Are there any risks to a 34 week fetus from an MRI? It is to look for placenta acreta

No: There really isn't any risk. If placenta accreta is a concern of your OB, it is vital that it be determined. Placenta accreta is serious business. Follow your OBs recommendation. Good Luck!

20

20
What is the treatment for placenta accreta?

What is the treatment for placenta accreta?

Prelabor c-hyst @34w: The optimal management of placenta previa with suspected accreta/increta/percreta is prelabor cesarean section by 34-35 weeks after Betamethasone administration without amniocentesis for fetal lung maturity; this should be immediately followed by puerperal hysterectomy with the expert help from a gynecologic oncologist, urologist, [vascular] surgeon. Do not attempt to detach the placenta!

See 2 more doctor answers
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