Therapeutic methods for pregnancy complicated by placenta praevia and abnormally invasive placenta – a retrospective analysis

A. Baroș, O. Teodor, A. Potorac, E. Stoica, D. Secară, M.M. Cîrstoiu

Rezumat: Placenta praevia with placenta accreta spectrum constitutes a challenging obstetrical pathology. Antenatal diagnostic protocol using ultrasonography and MRI allows an optimal therapeutic plan, ideally managed in a specialized tertiary center, with a multidisciplinary team involved. The therapeutic management usually implies caesarean hysterectomy. We conducted a retrospective study in the University Emergency Hospital Bucharest over a five-year period, with the aim to evaluate the therapeutic methods applied for placenta praevia with abnormal adherence. Through this study, we want to highlight the antenatal diagnostic protocol, but also the surgical therapeutic management. Twenty-six cases were identified. The mean maternal age was 35.46 years old, and the mean gestational age at delivery was 34 weeks. Eighteen cases were managed electively, while seven patients required emergency management. The treatment for placenta percreta and placenta increta consisted of caesarean hysterectomy in all of our cases, while five cases of placenta accreta were managed conservatively without hysterectomy.
Cuvinte cheie: placenta accreta spectrum, placenta praevia, invasive placenta, caesarean hysterectomy, multidisciplinary team.