The incidence of morbidly adherent placenta
increases with the number of caesarean sections performed.
Results: The incidence of morbidly adherent placenta
was 4.74 per 1000 deliveries.
Counseling in fetal medicine: evidence-based answers to clinical questions on morbidly adherent placenta
. Ultrasound Obstet Gynecol.
Alternative approaches to surgical hemostasis in patients with morbidly adherent placenta
undergoing fertility-sparing surgery.
Among multiparous women with placenta previa, first trimester PAPP-A values greater than 2.63 MoM conferred a nearly ninefold increased risk of PAS (95% confidence interval (CI) 2.8-27.4) independent of prior caesarean deliveries and a twenty-three- and thirty-six-fold increased risk for morbidly adherent placenta
in the setting of one and two prior caesarean deliveries, respectively.
We aimed to verify whether combination of specific signs improves magnetic resonance imaging (MRI) accuracy in morbidly adherent placenta
However prenatal diagnosis of morbidly adherent placenta
and its variants can help to reduce maternal/fetal morbidity and mortality.
Forlani, "Morbidly adherent placenta
: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta," Ultrasound in Obstetrics and Gynecology, vol.
Most common indications were ruptured uterus due to obstructed labor (30.3%) and morbid adherent placenta
18 patients (0.53%), reasons were atonic uterus, ruptured uterus, genital tract tears and morbidly adherent placenta
, after being managed at secondary care, followed by septicemia 03 (0.08%), and postpartum hemorrhage 02 (0.05%), Table 5.
The incidence of the morbidly adherent placenta
has been increasing due to the increased rate of cesarean section.
Morbidly adherent placenta
was the indication for EOH in 12 cases and was associated with one or more cesarean sections previously in 11 cases, previous curettage in four cases, placenta previa in three cases, and with a history of manual removal of the placenta and fibroid uterus in one case each.
If the placenta is not removed during laparotomy, postoperative embolization of feeding arteries can be done to control hemorrhage from adherent placenta
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.