Diagnosis, treatment and application of color Doppler in conservative management of abnormally adherent placenta
Obstetric haemorrhage results in a significant proportion of maternal deaths worldwide, and abnormally adherent placenta
(AAP), comprising placenta accreta, increta and percreta, is a rare but important cause of haemorrhage.
Placenta praevia and morbidly adherent placenta
can cause placental site bleeding.
Important differtial diagnoses in suspected cases when placenta could not be separated postpartum include retained incarcerated placenta, adherent placenta
where there is a line of cleavage and choriocarcinoma.
But recall that the incidence of abnormally adherent placenta
(accreta, increta, percreta) goes up almost exponentially as the number of prior cesareans increases.