Placenta Accreta: Management by Peridural Anesthesia

Francesco Tarantino, Giuseppe Calì

DOI: https://doi.org/10.7175/cmi.v15i1.1500

Abstract

The incidence of placenta accreta spectrum (PAS) disorders, characterized by abnormal invasion of trophoblastic tissue through the myometrium and uterine serosa, has been growing considerably, thus exposing mothers to the risk of massive bleeding and death.

The most recent guidelines suggest producing in-hospital protocols and establishing a step-by-step plan, from ultrasound-based detection of placenta previa to post-surgery management.

Keywords

Placenta accreta; Perioperative care; Peridural Anesthesia; Patient Care Team; Hysterectomy

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References

  • Morlando M, Sarno L, Napolitano R, et al. Placenta accreta: incidence and risk factors in an area with a particularly high rate of cesarean section. Acta Obstet Gynecol Scand 2013; 92: 457-60; https://doi.org/10.1111/aogs.12080
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  • Society of Gynecologic Oncology, American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill AG, et al. Placenta Accreta Spectrum. Am J Obstet Gynecol 2018; 219: B2-B16; https://doi.org/10.1016/j.ajog.2018.09.042
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