Usually the placenta attaches to the uterine wall, however there is a situation in which the placenta attaches too deeply into the uterine wall. This is known as placenta accreta, placenta increta, or placenta percreta depending on the severity and depth of the placenta. Approximately 1 in 2500 pregnancies experience placenta accreta, increta or percreta.
What is the difference between placenta accreta, percreta increta or?The difference between placenta accreta, percreta increta or determined by the severity of placental attachment to the uterine wall.
• Accreta placenta occurs when the placenta attached to the uterine wall but it does not penetrate the uterine muscle. Placenta accreta is the most common accounting for about 75% of all cases.
• Increta placenta occurs when the placenta attaches over the wall of the uterus and penetrate the uterine muscle. Increta placenta accounted for about 15% of all cases.
• Percreta placenta occurs when the placenta penetrates through the entire wall of the uterus and attaches to other organs such as the bladder. Placenta percreta is rare accounting for approximately 5% of all cases.
What causes placenta accreta?• The real reason for placenta accreta occurs is not known, but it may be associated with placenta previa (placenta below) and previous cesarean delivery. Placenta accreta occurs in 5% to 10% of pregnant women with placenta previa problem.
• Birth by cesarean surgery will also increase the likelihood of placenta accreta in subsequent pregnancies. If the number of cesarean do more and more, the higher the risk accreata placenta. More than 60% of cases of placenta accreta occurs due to the cesarean operation.
What is placenta accreta risk to unborn babies?• premature birth and complications, is the main risk to the baby. Bleeding during the third trimester may be a sign warning that placenta accreta may occur. Your doctor will check your condition, use drugs, make sure you rest in bed and what it takes to help you continue the pregnancy until you're safe delivery.
What is placenta accreta risk to pregnant women?• The placenta usually have difficulty separating the placenta from the uterine wall. The main risks for pregnant women is bleeding during attempts to remove the placenta. Severe bleeding can be life threatening. Other risks include damage the lining of the uterus or other organs (percreta) while removing the placenta manually.
What is the treatment for placenta accreta?• There is no way for a pregnant woman to prevent placenta accreta occurs. If you have been diagnosed to have placenta accreta by ultrasound, the doctor will monitor you throughout your pregnancy and cesarean surgery schedule to save your uterus as much as possible. It is very important to discuss this surgery with your doctor if you have a desire to have more children in the future.
• If the problem is severe placenta accreta, hysterectomy surgery which may require surgery to remove the uterus. Again, it is important to discuss surgical options with your doctor.