Undesirable consequences are often preventable. If the physician does not adequately diagnose and treat placenta accreta based on clinical findings and ultrasounds, he or she may not provide the care required by law. Failure to meet the standard of care when presenting certain clinical signs constitutes professional misconduct. For the mother, this carries a serious risk of severe postpartum hemorrhage, postpartum fever and uterine rupture. The maternal mortality rate for undiagnosed placenta accreta is about 7%. The baby is at risk of premature birth and other complications, including asphyxiation or even death. Placenta accreta can affect up to 1 in 533 pregnancies. The incidence of placenta accreta has increased in recent decades, mainly due to the increased caesarean section rate. Any form of placenta accreta is a high-risk pregnancy complication.
The following risk factors for abnormal implantation of the placenta. Most involve some form of myometrial (uterine wall) injury: What happens if the placenta sticks too deeply to the uterine wall? This is the placenta accreta. It suggests 1 in 533 pregnancies; But the risk increases the more caesarean section has had caesarean sections. Placenta accreta can cause an early onset of labor, leading to premature birth, which can lead to countless complications for the baby (4). These may include hypoxic-ischemic encephalopathy (HIE), periventricular cystic leukomalacia (PVL), intracranial hemorrhage, and other injuries. For this reason, it is important that medical staff correctly detect, diagnose and treat placenta accreta on prenatal ultrasound. Once placenta accreta is diagnosed, the doctor may recommend ways to manage the pregnancy to prepare for risks and complications. The rate of placenta accreta appears to increase with the rate of caesarean sections in the United States.
In 2015, 32% of all births were by caesarean section – and about a third of births are expected to continue to occur by caesarean section each year. Placenta accreta does not directly harm the fetus. Placenta accreta often leads to premature birth. Preterm birth carries risks such as breathing problems or difficulty gaining weight. Babies born before the 37th week of pregnancy are at higher risk of being admitted to a neonatal intensive care unit (NICU) for specialized treatment. The prognosis for a mother diagnosed with placenta accreta, placenta percreta or placenta increta depends on the severity of her condition and the resulting complications. If a hysterectomy is not necessary, it may be possible to fully recover – although the risk of developing placenta accreta and requiring a hysterectomy in a future pregnancy may increase significantly. Mothers who need hysterectomies may also fully recover from their procedures, although removal of the uterus results in permanent loss of fertility. Placenta accreta is a condition in which the placenta (the source of food and oxygen for a fetus) grows too deep into the wall of your uterus. In a typical pregnancy, the placenta easily detaches from the uterine wall after your baby is born.
In the placenta accreta, the placenta has invaded your uterine wall and does not separate easily after birth. In severe cases, life-threatening vaginal bleeding may occur. It may require a blood transfusion and hysterectomy (removal of your uterus). Pregnant caregivers diagnose placenta accreta during pregnancy or delivery. Treatment usually involves an early caesarean section (caesarean section) followed by a hysterectomy to minimize the risk of serious complications. The outlook is generally good when pregnancy caregivers diagnose placenta accreta during pregnancy. However, there will be complications associated with preterm labor and possible hysterectomy. If your obstetrician removes your uterus, you lose the ability to get pregnant again. This condition can also lead to massive blood loss, bowel or bladder injuries, and even death. If you or your child has been diagnosed with complications of placenta accreta, you should talk to a lawyer about your legal rights. Although placenta accreta occurs naturally, complications can often be prevented through timely diagnosis and treatment. Therefore, not avoiding complications in many cases constitutes medical malpractice.
Do all women diagnosed with Accreta need to be under general anesthesia for part of the delivery and hysterectomy? Your doctor will do everything possible to save your uterus. However, the risks may be too high. Most people with severe placenta accreta lose their uterus due to life-threatening bleeding that can occur. Talk to your doctor about the likelihood that you will need a hysterectomy because of your condition. Pregnancy and childbirth carry a variety of possible risks and complications, which is why skilled antenatal and obstetric care is essential. One of the possible dangerous conditions that can occur during pregnancy is placenta accreta. Undetected or abused, this condition can lead to preterm labor and/or severe vaginal bleeding during and after birth. It is important that your obstetrics/gynecology providers ensure that this condition is properly diagnosed and treated to avoid life-threatening delivery outcomes. Placenta accreta can be potentially harmful to babies, especially because it can trigger premature birth. However, placenta accreta poses a greater health risk to mothers than to babies.