Is Placenta Accreta A High Risk Pregnancy? Debug The Myths & Facts January 10, 2019

Every pregnancy has its own risk but certain conditions make a pregnancy high risk. Is placenta accreta a high-risk pregnancy condition? Yes, among many others, placenta accreta is one, which occurs by growing deep into the uterine wall and leads to a high-risk pregnancy condition.

What is Placenta Accreta?

In a normal pregnancy, the placenta detaches from the uterine wall after giving birth. But, a woman with placenta accreta pregnancy, retains the placenta attached to the uterine wall, even after delivering the baby. This may result in excessive blood loss post delivery.

Is Placenta Accreta Life Threatening?

Placenta accreta is likely to be seen in women over 35, women with a history of c-section or any other uterine surgeries, damaged the uterine wall, though a few women without any certain history may also grow the same risk. The most frequently asked question we hear from the scared to-be moms and dads is placenta accreta life threatening!

Placenta accreta can cause severe complications during child birth including severe vaginal bleeding after delivery leading to adult respiratory distress syndrome, kidney failure. This condition is undoubtedly life threatening, but with the current advancement in medical sciences, a high-risk pregnancy specialist obstetrician can safely handle the difficulties and keep the new mother safe.

Stop Believing Myths, Start Knowing Facts

Placenta accreta is a risky pregnancy condition, has several misconceptions, which makes it an even more fretful condition than it is. Here in this blog, we are going to debug the placenta accreta myths and facts.

Myth: For Placenta Accreta Pregnancy Vaginal Haemorrhage After Childbirth Is Unavoidable

This condition has a higher risk of bleeding and haemorrhage during and after childbirth, but in different circumstances, a woman may not haemorrhage. The risk of haemorrhage depends on the individual state of one’s placenta.

Women with placenta previa (placenta covering the cervix) are more at risk of having severe haemorrhage than women with accreta. If the placenta accreta develops without covering the cervix, would be less possible to haemorrhage.

Moreover, by managing the delivery process with expert care, the risk of haemorrhage can be decreased. If the placenta is treated rightly at the time of delivery, and intensive care is taken during c-section, allows safe childbirth.

Myth: Women Having Placenta Accreta Pregnancy End With Hysterectomy

Though hysterectomy is a preferred treatment to minimise bleeding, it is not always necessary. Usually, hysterectomy is done to safely manage large accretas; while the small or focal accretas are often removed without performing a hysterectomy. In some certain conditions, doctors may leave the accreta as it is after childbirth where removal of the accreta is unnecessary.

Myth: Women With Placenta Accreta Can Have Full-Term Pregnancy

Women with placenta accreta are not recommended to carry full-term even though they aren’t having a vaginal haemorrhage. Baby is typically delivered at week 34 of gestation and no-later than week 36-37 of the pregnancy to have a controlled delivery and managed risk of after birth complications.

For those who experience heavy bleeding within the pregnancy term, pre-term delivery is very crucial for them. The right time to deliver the baby depends on the individual mothers.

Myth: Placenta Accreta Is Easily Detectable

Usually, the condition is detectable during the second trimester through MRI or ultrasound imaging, but in a few cases, it may not. Thus, women who are not detected with but tend to have a high-risk placenta accreta should be under expert supervision to make the delivery safe even handling the hidden placenta accreta and the chances of severe bleeding.

Myth: Vaginal Delivery Is Impossible With Placenta Accreta

Most of the women who have placenta accreta have placenta previa, or a history of c-section, or even both. In case, vaginal delivery is really impossible and never suggested to the patients. To ensure the safety of labour with a placenta attached to the previous c-section scar higher the risk of rupturing the scar and may lead to excessive bleeding. Patients without a previous c-section as well as placenta previa may be suggested to deliver vaginally; though this may be a complicated and risky process. Thus, doctors usually don’t make a suggestion.

Consult Experienced Obstetrician

Expert and experienced care is most important for the expecting mother as well as for the unborn. Not just when you are pregnant, but starting from the time you are planning your pregnancy, get in touch with a specialist who can offer exceptional guidance, care and medical as well as moral support all through your pregnancy term. To have a safe, well-managed pregnancy, delivery and postpartum care Request Appointment today.

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