PLACENTA ACCRETA SPECTRUM DISORDERS

Mishra A.*, Thakur N. and Rani K. U.

ABSTRACT

Placenta accreta spectrum is one of the most morbid conditions obstetricians will encounter. The incidence of placenta accreta was reported to be 1 in 4027 deliveries in 1970 but recent data, from 1987 to 2002 shows the current incidence of placenta accreta to be 1 in 533 deliveries.[1,2] This increase is likely secondary to the rising rate of caesarean from 5% of all deliveries in 1970 to 32.8% in 2010.[3,4] The condition poses dramatic risk for massive haemorrhage and associated complications such as consumption coagulopathy, multisystem organ failure, death and surgical complications such as injury to bladder, ureters and bowel. Most women require multiple blood transfusions and many require admission to ICU. Relevant documents were identified through a search of the English-language literature for publications including one of the key words “accreta” or “increta” or “percreta” using PubMed (US National Library of Medicine; January 1990 to february 2018). Additional information was obtained from references identified within selected articles and from guidelines by organizations including the American College of Obstetricians and Gynecologists, Royal College Of Obstetricians and Gynecologists and International Federation of Obstetrics and Gynecology.

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