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Doctor insights on: Symptoms Of Placenta Accreta

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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. ...Read more

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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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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! ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...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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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. ...Read more

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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! ...Read more

Dr. Nikolaos Zacharias
104 doctors shared insights

Placenta Accreta (Definition)

Placenta accreta is a condition where the placenta is attached too deeply to the wall of the uterus, making it more difficult ...Read more