Objectives: To determine whether staged procedure involving classical Caesarean section without removing the placenta followed by arterial embolisation before hysterectomy had any clinical value in the surgical management of placenta accreta. Methods: This retrospective case-controlled study was conducted in a tertiary obstetric unit in Hong Kong. All hysterectomy cases with confirmed histologi...

The incidence of morbidly adherent placentas has increased ten-fold in the past 50 years, currently occurring at a frequency of 1 per 1000–2500 deliveries1,2. It is contributing to a large proportion of postpartum hemorrhages (PPH) and has led to some maternal mortalities and several surgical interventions. Current management of morbidly adherent placentas – accreta, increta and especially perc...

Aim: Aim of the study was to show that conservative management with preservation of the uterus and of fertility is possible in patients with placenta accreta/increta after vaginal delivery. Method: A retrospective analysis of patients with placental attachment disorders after vaginal delivery was done in a perinatal centre between November 2009 and April 2011. The patient collective was identif...

Retained placenta is a common complication of the third stage of labor. Most literature has focused on management of a trapped placenta or placenta accreta. The most common source of a trapped placenta is from a partial closure of the cervix and/or a contracted lower uterine segment. We present an unusual case of a retained placenta trapped in a septate uterus. The management included unsuccess...

Placenta accreta and placenta percreta are rare causes of serious obstetric hemorrhage. Here we report an undiagnosed case of placenta percreta presenting to the emergency department with shock in the third trimester of pregnancy. Emergency laparotomy with caesarean hysterectomy and blood transfusion are the key steps in successful management. North Bengal Medical College, Sushrutanagar, Darjee...

We herein report three cases of preterm uterine ruptures. The etiology of ruptures was placenta accreta in various forms like; placenta increta and percreta. All cases presented with abdominal pain and vaginal discharge. Though uterine rupture secondary to adherent placentation had been observed in multiparous women with previous history of cesarean sections, myomectomy, dilatation and curettag...

Placenta accreta spectrum (PAS) is an umbrella term for a variety of pregnancy complications due to abnormal placental implantation, including placenta accreta, increta and percreta. During the past several decades, prevalence PAS has been increasing, clinical importance this disease significant because severe complications. In review, we summarized available evidence-based data in various aspe...

Placental disorders such as placenta previa, placenta accreta, and vasa previa are all associated with vaginal bleeding in the second half of pregnancy. They are also important causes of serious fetal and maternal morbidity and even mortality. Moreover, the rates of previa and accreta are increasing, probably as a result of increasing rates of cesarean delivery, maternal age, and assisted repro...

Placenta accreta refers to abnormal p lacental implantation in which the placental villi is attached to the myometrium due to poorly formed or absent decidua basalis. Hence it is more common in the scarred area of the lower uterine segment that does not resist deep penetration by the trophoblast. This may result in complicat ions in the peripartum period such as severe haemorrhage, scar dehisce...