[Placenta accreta--prenatal diagnosis, treatment]

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Diagnostic Ultrasound

Background:

• Placenta accreta poses significant maternal morbidity and mortality risks.
• Key risk factors include placenta previa and prior Cesarean sections.
• Multidisciplinary management is crucial for this life-threatening obstetric condition.

Observation:

• This study details two second-trimester cases of placenta accreta diagnosed via ultrasound.
• Both patients presented with the combined risk factors of placenta previa and previous Cesarean delivery.
• Ultrasound findings suggestive of placenta accreta included placental lacunae and disrupted uterine-bladder wall interfaces.

Findings:

• Successful management involved planned preterm Cesarean hysterectomy for both patients.
• The placenta was intentionally left in situ in both successful surgical outcomes.
• This approach highlights effective intervention for high-risk placenta accreta cases.

Implications:

• Early and accurate ultrasound diagnosis of placenta accreta is vital.
• Preterm Cesarean hysterectomy is a viable management strategy for severe cases.
• This case series underscores the importance of recognizing risk factors for timely intervention.