Morbidly Adherent Placenta: Interprofessional Management Strategies for the Intrapartum Period

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine
• Reproductive Health

Background:

• The incidence of morbidly adherent placenta (MAP), encompassing placenta accreta, increta, and percreta, has significantly increased.
• This rise is linked to multifactorial causes, notably the increasing rates of cesarean births.
• Women with prior cesarean deliveries and placenta previa overlying the uterine scar face the highest risk.

Purpose of the Study:

• To provide a comprehensive overview of morbidly adherent placenta.
• To detail the classification, risk factors, diagnostic methods, and potential complications.
• To outline essential intrapartum management strategies for optimizing maternal and fetal outcomes.

Main Methods:

• Literature review and synthesis of current knowledge on MAP.
• Description of diagnostic modalities, including imaging techniques.
• Discussion of clinical management protocols and multidisciplinary care approaches.

Main Results:

• MAP presents a spectrum of abnormal placental invasion with increasing severity.
• Risk factors include previous cesarean sections and placenta previa.
• Timely diagnosis and a coordinated, multidisciplinary approach are crucial for managing this high-risk condition.

Conclusions:

• Morbidly adherent placenta is a serious obstetric complication requiring specialized management.
• Early recognition and a collaborative care strategy are paramount to reducing maternal and fetal morbidity and mortality.
• Continued research and standardized protocols are needed to improve patient outcomes.