Abstract

Placenta accreta includes several abnormalities of adhesion and invasion of placental tissue into the uterine wall. The steady increase in cesarean deliveries has led to a high incidence of placenta accreta, which negatively affects pregnancy outcomes. Placenta accreta is now an absolute indication for emergency hysterectomy for massive intraoperative hemorrhage in many maternity institutions. The management of pregnancy and labor in patients with placenta accreta depends on the accuracy of prenatal diagnosis, including the differential diagnosis between adhesive and invasive forms. Current epidemiological data on placenta accreta are ambiguous mainly because of the great variety of both clinical and diagnostic criteria used to identify this pathology. The increasing role of magnetic resonance imaging in the diagnosis of abnormal placental attachment is obvious, but there are many different signs of this condition described in the literature, and there are controversial data on the efficacy of one or another criterion. Key words: placenta increta, cesarean section, magnetic resonance imaging, placenta accreta, placenta precreta

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