Placenta accreta, increta, and percreta. A survey of 40 cases.
Forty patients with placenta accreta, increta, or percreta are presented. Clinical features revealed an average age of 29.5 years and an average parity of 3-2-1. Twenty-five had no antepartum complications. Nine were admitted with silent hemorrhage, of which 6 had a total placenta previa and 1 a low-lying previa. Postpartum hemorrhage occurred in 39% with an associated perinatal mortality of 25% and 1 maternal death. Histopathologic evaluations revealed the predominant factor to be an absent decidua. Etiologic in decidual deficiency was a previous cesarean section (12 patients). Therapy consisted of total abdominal hysterectomy in 38 patients.
D000293:Adolescent; D000328:Adult; D003656:Decidua / Q000002:abnormalities; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000150:complications* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000209:etiology