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Placenta Accreta and Postpartum Hemorrhage

HULL, ANDREW D. MD, FRCOG, FACOG; RESNIK, ROBERT MD, FACOG

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181ce6aef
Postpartum Hemorrhage
Abstract

Placenta accreta is the abnormal adherence of the placenta to the uterine wall. Where placenta accreta is present, the failure of the placenta to separate normally from the uterus after delivery is accompanied by severe postpartum hemorrhage. The best outcomes in placenta accreta are in prenatally diagnosed electively delivered cases. Management should take place in centers with special expertise. All obstetric units should have an obstetric hemorrhage protocol in place.

Author Information

Department of Reproductive Medicine, Division of Perinatal Medicine, University of California San Diego

Correspondence: Andrew D. Hull, MD, FRCOG, FACOG, Department of Reproductive Medicine, Division of Perinatal Medicine, University of California San Diego, 200 West Arbor Drive #8433, San Diego, CA 92103-8433. E-mail: adhull@ucsd.edu.

© 2010 Lippincott Williams & Wilkins, Inc.