Placenta accreta, increta, and percreta

Alison C Wortman1, James M Alexander

  • 1Department of Maternal Fetal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA. Alison.Wortman@UTSouthwestern.edu

Placenta accreta is an abnormal adherence of the placenta to the uterine wall that can lead to significant maternal morbidity and mortality. The incidence of placenta accreta has increased 13-fold since the early 1900s and directly correlates with the increasing cesarean delivery rate. The prenatal diagnosis of placenta accreta by ultrasound along with risk factors including placenta previa and prior cesarean delivery can aid in delivery planning and improved outcomes. Referral to a tertiary care center and the use of a multidisciplinary care team is recommended.

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