Title: Placenta Accreta: Anaesthesia Management
Authors: Dr Rashmi Bengali, Dr Tushar Patil, Dr Bhaskar Auralkar
DOI: http://dx.doi.org/10.18535/jmscr/v4i2.55
Haemorrhagic emergencies always pose a challenge to anaesthetist. Though multidisciplinary approach to treat such emergencies is a cornerstone of management, knowledge of the disease process and the management plan decides the outcome. One such life threatening emergency is placenta accreta. The incidence is approximately 1 in 1000 deliveries. Uterine scar caused by previous caesarean section for placenta previa puts the patients in high risk zone for placenta accreta. Diagnosis is generally done by grey scale ultrasonography while magnetic resonance imaging may be helpful in ambiguous cases. Antenatal diagnosis seems to be a key factor in optimizing maternal outcome. Elective caesarean hysterectomy with placenta in situ is recommended treatment to avoid the haemorrhagic morbidity. A prenatal screening for cell-free fetal DNA, placental mRNA, and DNA microarray can play crucial role in better understanding of placental invasion. 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