Abstract

DAVIS SJOGREEN, Alain; SANCHEZ, Lilia María  and  RUBIO ROMERO, Jorge Andrés. Placenta accreta in the Instituto Materno Infantil. 1994-1999. Rev Colomb Obstet Ginecol [online]. 2002, vol.53, n.4, pp.327-334. ISSN 0034-7434.

Placenta accreta is an abnormally attached placenta to an inadequate decidua and miometrium, conducing to a delayed third stage of delivery or to a placental retention, in association with postpartum hemorrhage that will require or not a hysterectomy. A retrospective descriptive study was designed and reviewed the records of the Pathology Department in our institution searching the placenta accreta histological confirmed cases between January 1, 1994 and August 30, 1999. We review the clinical, obstetrical and histopathological features of all patients with diagnosis and we made a comparison with the literature. The higher incidence of caesarean section delivery today is strongly associated with the greater frequency of placenta previa and placenta accreta. Obstetricians must use all available methods to achieve an accurate diagnosis and treatment of this condition.

Keywords : placenta accreta; placenta increta; placenta percreta; histopathology; postpartum hemorrhage; hysterectomy.

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