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Review
. 2022 Feb;22(2):43-51.
doi: 10.1016/j.bjae.2021.10.002. Epub 2021 Dec 21.

Management of patients with suspected placenta accreta spectrum

S C Reale  1 , M K Farber  1
Affiliations
Review

Management of patients with suspected placenta accreta spectrum

S C Reale et al. BJA Educ. 2022 Feb.
No abstract available

Keywords: Caesarean section; hysterectomy; obstetric anaesthesia; placenta accreta; post-partum haemorrhage.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig 1
Fig 1
Ultrasonographic evidence and specimen confirmation of placenta increta. (A) Ultrasonography at 30 weeks, 6 days demonstrating placenta praevia, placental lakes (star), increased vascularity at the bladder–myometrial border (arrow) and loss of distinction between the placental–myometrial border anteriorly and the myometrial–bladder border laterally. (B) Uterus and placenta post-Caesarean delivery/hysterectomy, with a densely adherent placenta and large circumferential placental bulge. The fundus has a classical hysterotomy closure (arrow). The hypervascularised placenta can be visualised in the low uterine segment, overlying the cervical os (star). Used with written consent from the patient.
Fig 2
Fig 2
Algorithm for patients with suspected placenta accreta spectrum. FFP, fresh frozen plasma; PRBC, packed red blood cells; ROTEM, rotational thromboelastometry; TEG, thromboelastography; TOE, transoesophageal echocardiography; TTE, transthoracic echocardiography. Adapted with permission from King and colleagues.
See this image and copyright information in PMC

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