What happens if you have a cesarean section with placenta accreta

Multiple abortions not only pose a risk of affecting future fertility, but also may cause placental adhesion during the abortion, which can cause heavy bleeding, damage to the endometrium, and ultimately inflammation of the endometrium. There is another situation in which placenta adhesion may occur. During a caesarean section, doctors often solve the problem of placenta adhesion by manually removing the placenta.

The dangers of cesarean section for placenta adhesion

In cases of placenta adhesion, the placenta may be difficult to separate on its own after a normal delivery, and heavy bleeding may easily occur. It is recommended to have a caesarean section so that after the fetus is taken out, we can see whether the adhesion can be separated. If not, the site of adhesion may need to be removed.

2. What to do if the placenta is adherent

Ultrasound examination cannot detect placenta adhesion, it can only understand the position of the placenta in the uterus, the maturity of the placenta, and whether there are any abnormal tumors in the placenta. Generally, ultrasound during pregnancy may provide some hints, but it is not absolute. Only a very experienced doctor could have guessed. When giving birth, the placenta was found to be adhered. The doctor would remove the placenta manually, but it was not removed completely. So uterine cleaning surgery was performed 1-3 days after delivery under intravenous infusion of oxytocin.

It is very easy for the placenta or fetal membranes to remain and adhere to during mid-term induction of labor. This is because the placenta and fetal membranes have not yet grown to maturity. This is very common during mid-term induction of labor. If it is a full-term birth, the cause of residual and adhesion of the placenta and fetal membranes may be inflammation of the endometrium or the use of pregnancy-preserving drugs during pregnancy. It is recommended to have a gynecological examination before the next pregnancy. If there is inflammation of the endometrium, treatment can be provided.

Partial adhesions may cause bleeding due to incomplete peeling. It is common in multiple induced abortions, which cause damage to the endometrium and endometritis or endometritis caused by other reasons. Treatment method: Insert your hands into the uterine cavity and gently peel off the placenta and remove it. Immediately after removal, check whether the placenta and fetal membranes are intact. Uterine contractions are injected after surgery to reduce bleeding, and antibiotics are given to prevent infection.

3. Effective methods to prevent placenta adhesion

1. The general method used clinically to prevent adhesion is to get out of bed and move around 24 hours after surgery, which can effectively prevent it.

2. An effective way to prevent placenta adhesion is to avoid multiple artificial abortions, multiple curettages, spontaneous abortions or medical abortions and other related uterine curettages. If the curettage is performed multiple times or too deep, it will more easily damage the endometrium and superficial muscle layer, leading to infection by some bacteria.

4. Effective contraceptive measures can also be taken to prevent the occurrence of placenta adhesion, because reducing the number of miscarriages is the most critical method to prevent placenta adhesion. It is important to note that during the operation, gentle movements are best used to avoid damaging the endometrium due to excessive force or excessive curettage.