Placenta accreta, increta, and percreta

Obstet Gynecol Clin North Am. 2013 Mar;40(1):137-54. doi: 10.1016/j.ogc.2012.12.002.


Placenta accreta is an abnormal adherence of the placenta to the uterine wall that can lead to significant maternal morbidity and mortality. The incidence of placenta accreta has increased 13-fold since the early 1900s and directly correlates with the increasing cesarean delivery rate. The prenatal diagnosis of placenta accreta by ultrasound along with risk factors including placenta previa and prior cesarean delivery can aid in delivery planning and improved outcomes. Referral to a tertiary care center and the use of a multidisciplinary care team is recommended.

Publication types

  • Review

MeSH terms

  • Anesthesia / methods
  • Cesarean Section / adverse effects
  • Cesarean Section / methods*
  • Dilatation and Curettage / adverse effects
  • Female
  • Humans
  • Hysterectomy / methods*
  • Maternal Age
  • North America / epidemiology
  • Patient Selection
  • Placenta Accreta / diagnostic imaging*
  • Placenta Accreta / mortality
  • Placenta Accreta / surgery
  • Placenta Previa / diagnostic imaging*
  • Placenta Previa / mortality
  • Placenta Previa / surgery
  • Postpartum Hemorrhage / diagnostic imaging*
  • Postpartum Hemorrhage / mortality
  • Postpartum Hemorrhage / surgery
  • Pregnancy
  • Risk Factors
  • Ultrasonography, Prenatal* / methods