" Placental Separation Anxiety " Cases of Placenta Accreta Seen in FEU-NRMF Medical Center from 2007-2012 : A Case Series

MEDICINE Research project

Placenta accreta is one of the most threatening conditions in obstetrics. Its incidence continuous to increase due to escalating rate of cesarean section. Early remains the key factor in its management, thus, identification of antenatal risk factors is important. The most important risk factor for placenta accreta is placenta previa after a prior cesarean delivery. Prenatal diagnosis of placenta accreta improves both maternal and perinatal outcome, thus every attempt must be done to rule out the diagnosis in women with risk factors. Ultrasound is the first line investigation for diagnosis and MRI can be used in equivocal cases. The recommended management for pregnancies with suspected placenta accreta is planned preterm cesarean hysterectomy with the placent left in situ. Surgical management, though, must be individualized. Although a planned delivery is ideal, an exigency plan for an emergency delivery should be developed for each patient.