How to deal with placental adhesions
Placental adhesion is a complication in which the placenta fails to separate completely after delivery, which may lead to postpartum hemorrhage or infection. In recent years, with the advancement of medical technology, the treatment methods for placental adhesion have gradually become diversified. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to the treatment of placenta adhesion.
1. Definition and classification of placental adhesion
Placental adhesion refers to the abnormal attachment of placental villi to the myometrium. It can be divided into the following three categories according to the degree of adhesion:
| Type | Description | risk level |
|---|---|---|
| Placenta Accreta | Villi adhere to the surface of the myometrium | medium |
| Placenta Increta | Villi invade the myometrium | higher |
| Placenta Percreta | Villi penetrate the myometrium and reach the serosa layer | extremely high |
2. High-risk factors for placental adhesion
According to recent medical research, high-risk factors for placental adhesion mainly include:
| high risk factors | Description |
|---|---|
| History of cesarean section | Especially after multiple cesarean sections, uterine scars increase the risk of adhesions |
| placenta previa | The placenta is attached to the lower segment of the uterus or the internal cervical os |
| advanced maternal age | Age ≥35 years has a significantly increased risk |
| History of induced abortion | Injury to the endometrium due to uterine cavity manipulation |
3. Treatment of placenta adhesion
The treatment of placental adhesion requires an individualized plan based on the specific situation of the mother:
| Treatment method | Applicable situations | Things to note |
|---|---|---|
| Conservative treatment | Less bleeding and stable vital signs | Monitor infection indicators closely |
| uterine artery embolism | Active bleeding but wish to preserve the uterus | Requires cooperation from interventional radiology department |
| surgical dissection | partial adhesion | Be wary of uterine perforation |
| hysterectomy | severe placenta accreta or percreta | Need to be fully informed of loss of reproductive function |
4. Latest research progress
Recent research published in the International Journal of Obstetrics and Gynecology shows:
1. Preoperative MRI evaluation can increase the accuracy of diagnosis of placental adhesion to 92%
2. Prophylactic use of tranexamic acid can reduce intraoperative bleeding by approximately 30%
3. Multidisciplinary team (MDT) collaboration can reduce the incidence of complications by 45%
5. Preventive measures
1. Standardize family planning services and reduce unnecessary uterine cavity operations
2. Strict contraception for more than 2 years after cesarean section
3. Placenta positioning ultrasound examination in early pregnancy for high-risk pregnant women
4. Establish a special disease file for placenta accreta and implement hierarchical diagnosis and treatment
6. Answers to Frequently Asked Questions by Patients
| question | Professional answers |
|---|---|
| Is it possible to have a normal delivery with placental adhesion? | Comprehensive evaluation is required, and cesarean section is recommended in most cases. |
| Will the treatment affect the next pregnancy? | Those undergoing conservative treatment need to use contraception for 1-2 years |
| How much does the surgery cost? | Approximately NT$10,000-50,000 depending on the technique. |
Placental adhesion is a serious obstetric emergency. It is recommended that pregnant women have regular prenatal check-ups. Especially high-risk groups should give birth in hospitals with treatment capabilities. With the development of medical technology, most patients can achieve good prognosis with reasonable treatment.
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