Obstet Gynecol. 1977 Jan;49(1):43-7.

Placenta accreta, increta, and percreta. A survey of 40 cases.

Breen JL, Neubecker R, Gregori CA, Franklin JE Jr.

Abstract

Forty patients with placenta accreta, increta, or percreta are presented. Clinical features revealed an average age of 29.5 years and an average parity of 3-2-1. Twenty-five had no antepartum complications. Nine were admitted with silent hemorrhage, of which 6 had a total placenta previa and 1 a low-lying previa. Postpartum hemorrhage occurred in 39% with an associated perinatal mortality of 25% and 1 maternal death. Histopathologic evaluations revealed the predominant factor to be an absent decidua. Etiologic in decidual deficiency was a previous cesarean section (12 patients). Therapy consisted of total abdominal hysterectomy in 38 patients.

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Cited by 3 PubMed Central articles

Expectant and medical management of placenta increta in a primiparous woman presenting with postpartum haemorrhage: The role of Imaging. [J Radiol Case Rep. 2010]
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