If you have vaginal bleeding during your third trimester, contact your health care provider right away. If the bleeding is severe, seek emergency care.
Often, placenta accreta is suspected after an ultrasound early in pregnancy. A follow-up visit can give you an opportunity to find out about the condition and develop a plan to manage it.
What you can do
Before your appointment, you might want to:
- Ask about pre-appointment restrictions. In most cases, you'll be seen immediately. If your appointment will be delayed, ask whether you should restrict your activity in the meantime.
- Ask a loved one or friend to join you for the appointment. Fear and anxiety might make it difficult to focus on what your health care provider says. Take someone along who can help you remember all the information.
- Write down questions to ask your health care provider. That way, you won't forget anything important that you want to ask.
Below are some basic questions to ask your health care provider about placenta accreta:
- What's causing the bleeding?
- What treatment approach do you recommend?
- What follow-up care will I need during the rest of my pregnancy?
- What signs or symptoms should cause me to call you?
- What signs or symptoms should cause me to go to the hospital?
- Will I be able to deliver vaginally?
- Does this condition increase the risk of complications during future pregnancies?
- Will I need to have a hysterectomy after the baby is born?
In addition to the questions you've prepared, don't hesitate to ask other questions during your appointment — especially if you need clarification or you don't understand something.
What to expect from your doctor
Your health care provider is likely to ask you a number of questions, such as:
March 28, 2015
- When did you first notice vaginal bleeding?
- Did you bleed only once, or has the bleeding been off and on?
- How heavy is the bleeding?
- Is the bleeding accompanied by pain or contractions?
- Have you had any previous pregnancies that I'm not aware of?
- Have you had any uterine surgeries that I'm not aware of?
- How long would it take to get to the hospital in an emergency, including time to arrange child care and transportation?
- Wortman AC, et al. Placenta accreta, increta, and percreta. Obstetrics and Gynecology Clinics of North America. 2013;40:137.
- Creasy RK, et al. Placenta previa, placenta accreta, abruptio placentae, and vasa previa. In: Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed Feb. 3, 2015.
- Cunningham FG, et al. Placental abnormalities. In: Williams Obstetrics. 24th ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://www.accessmedicine.com. Accessed Feb. 3, 2015.
- Resnik R. Clinical features and diagnosis of placenta accreta, increta, and percreta. http://www.uptodate.com/home. Accessed Feb. 4, 2015.
- Eshkoli T, et al. Placenta accreta: Risk factors, perinatal outcomes, and consequences for subsequent births. American Journal of Obstetrics and Gynecology. 2013;208:219e1.
- Resnik R. Management of placenta accreta, increta, and percreta. http://www.uptodate.com/home. Accessed Feb. 4, 2015.
- Legendre G, et al. Conservative management of placenta accreta: Hysteroscopic resection of retained tissues. The Journal of Minimally Invasive Gynecology. 2014;21:910.
- Relaxation techniques for health: An introduction. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/stress/relaxation.htm. Accessed Feb. 5, 2015.
- Wick MJ (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 19, 2015.