Archives of Gynecology and Obstetrics

, Volume 273, Issue 6, pp 319–321

Anesthesia for the repeat cesarean section in the parturient with abnormal placentation: What does an obstetrician need to know?

Review

Abstract

Placenta accreta is an abnormal adherence of the placenta to the uterine wall owing to an absent or faulty decidua basalis. The incidence of this devastating problem is increasing secondary to the increased incidence of Cesarean section. Although rare, the diagnosis of placenta accreta may lead to life-threatening complications (e.g., fatal hemorrhage) and significantly impact the obstetric and anesthetic management of these parturients. I herein present the case of a pregnant patient with abnormal placentation and review the current state-of-the-art obstetric and anesthetic management of this complication.

Keywords

Pregnancy Complications Abnormal placentation Placenta acreta Increta Percreta Previa Bleeding Cesarean section Hysterectomy Obstetric anesthesia Complications 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  1. 1.Departments of Anesthesiology and Reproductive MedicineUniversity of California San DiegoSan DiegoUSA

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