Placental accreta, a risk in pregnancy that must be prevented –

High obstetric risk is a possibility that can occur in each pregnancy and among them is the placental accretaa condition that occurs when the placenta adheres much deeper to the uterus or womb, causing it not to detach normally at the time of birth, generating complications in the mother’s health.

“The placenta is the organ that puts the baby and the mother in contact, it is the one that allows nutrients to pass to the baby and it is the organ that adheres to the uterus or womb to a certain depth, when the birth occurs it detaches from the uterus and it contracts”, explains Dr. Javier Enrique Fonseca, an obstetrician-gynecologist at our institution, who adds that when the placenta adheres to the uterus more than normal, that is when the risk for the mother arises.

A few years ago it was unusual for placental accreta to appear, but lately the number of women who come to medical services with this condition has increased, as confirmed by Dr. Fonseca, who states that currently and depending on the health institution They can handle between four and six cases a year.

“This condition generates bleeding in the mother, so her life is compromised, many of the cases can reach the intensive care unit, some patients require blood transfusions, red blood cells, platelets in large quantities and a significant percentage, it can end up in surgery”, says the obstetrician-gynecologist.

Does the patient have symptoms?

  • Accreta may be asymptomatic and its finding may only occur at the time of delivery.
  • There may be suspicion on the part of the doctor, who should delve more into the patient’s history regarding the caesarean sections she has had or the surgical procedures that have been performed on her.
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Who is more likely to suffer from this condition?

It can occur in patients who have had curettages, abortions, surgeries in the uterus and rarely in those who do not have such a history.

“It is not known when it may occur, but there are actions that can be taken to reduce the risk, one of which favors a natural birth over a cesarean section, there is also the option of not doing conventional curettage when a situation of emergency occurs. abortion. These are measures that can be adopted”, points out Dr. Fonseca.

recommendations

  • Do prenatal control.
  • Start prenatal control from the beginning of pregnancy.
  • If the diagnosis is made, it is necessary for the patient to go to a specialized institution for care.
  • If you have a prior diagnosis, you can manage this situation well with all the specialists who should be involved in the process. A multidisciplinary team must be in charge of the patient, in order to provide adequate care.

In our institution we have the Women’s Comprehensive Care Unita specialized area for the management of gynecological and obstetric female pathologies, with gynecological and obstetric emergencies, maternal-fetal diagnosis and monitoring, reproductive medicine and special obstetric care.

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