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

Archives of Gynecology and Obstetrics volume 273, pages 319–321 (2006)Cite this article

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.

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Acknowledgement

To the loving memory of my mother Mieczyslawa Barbara Kuczowska who lost a battle with cancer on June 29, 2005 in San Diego, California. Everything I have accomplished in life I owe to her, her wisdom, guidance, inspiration and love. Krzysztof M. Kuczkowski, M.D. San Diego, California, USA, October 25, 2005

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Affiliations

  1. Departments of Anesthesiology and Reproductive Medicine, University of California San Diego, USCD Medical Center 200 W. Arbor Drive, San Diego, CA, 92103-8770, USA

    Krzysztof M. Kuczkowski

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  1. Krzysztof M. Kuczkowski
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Correspondence to Krzysztof M. Kuczkowski.

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Kuczkowski, K.M. Anesthesia for the repeat cesarean section in the parturient with abnormal placentation: What does an obstetrician need to know?. Arch Gynecol Obstet 273, 319–321 (2006). https://doi.org/10.1007/s00404-005-0104-0

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  • DOI: https://doi.org/10.1007/s00404-005-0104-0

Keywords

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