Placenta accreta is a serious pregnancy condition that occurs when blood vessels and other parts of the placenta grow too deeply into the uterine wall.
The placenta is a structure that develops in the uterus during pregnancy. The placenta provides oxygen and nutrients to your growing baby and removes waste products from your baby's blood. It attaches to the wall of your uterus, and your baby's umbilical cord arises from it.
Typically, the placenta detaches from the uterine wall after childbirth. With placenta accreta, part or all of the placenta remains strongly attached. This can cause vaginal bleeding during the third trimester of pregnancy and severe blood loss after delivery.
It's also possible for the placenta to invade the muscles of the uterus (placenta increta) or grow through the uterine wall (placenta percreta).
If extensive placenta accreta is suspected during pregnancy, you'll likely need a C-section delivery followed by the surgical removal of your uterus (hysterectomy).
May. 24, 2012
- Resnik R. Diagnosis and management of placenta accreta. http://www.uptodate.com/index. Accessed March 21, 2012.
- Weeks A. Diagnosis and management of retained placenta after vaginal birth. http://www.uptodate.com/index. Accessed March 21, 2012.
- DeCherney AH, et al. Current Diagnosis & Treatment Obstetrics & Gynecology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2007. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=9. Accessed March 21, 2012.
- American College of Obstetricians and Gynecologists. Your Pregnancy and Childbirth Month to Month. 5th ed. Washington, D.C.: American College of Obstetricians and Gynecologists; 2010:373.
- Silverman F, et al. Management of the third stage of labor. http://www.uptodate.com/index. Accessed March 21, 2012.
- Jauniaux E, et al. Placenta accreta: Pathogenesis of 20th century iatrogenic uterine disease. Placenta. 2012;33:244.
- Marc I, et al. Mind-body interventions during pregnancy for preventing or treating women's anxiety (review). Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007559.pub2/abstract. Accessed March 26, 2012.
- Gielchinksy Y, et al. Placenta accreta - Summary of 10 years: A survey of 310 cases. Placenta. 2002;23:210.
- Wright JD, et al. Predictors of massive blood loss in women with placenta accrete. American Journal of Obstetrics and Gynecology. 2011;205:38.e1.
- Eller AG. Optimal management strategies for placenta accreta. BJOG: An International Journal of Obstetrics and Gynaecology. 2009;116:648.
- Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2008:1.
- Society for Maternal-Fetal Medicine. Placenta accreta. American College of Obstetricians and Gynecologists. 2010;203:430.
- Frequently asked questions. Special procedures FAQ 008. Hysterectomy. American College of Obstetrics and Gynecology. http://www.acog.org/~/media/For%20Patients/faq008.pdf?dmc=1&ts=20120326T1355412038. Accessed March 26, 2012.
- Gielchinksy Y, et al. Perinatal outcomes of pregnancies complicated by placenta accrete. Obstetrics & Gynecology. 2004;104:527.
- Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. March 28, 2012.
You Are ... The Campaign for Mayo Clinic
Mayo Clinic is a not-for-profit organization. Make a difference today.