Placenta accreta probability of hysterectomy

Placenta accreta probability of hysterectomy

Placenta accreta is a very dangerous obstetric condition. The adverse consequences of this condition are very serious, and can cause uterine perforation, internal bleeding, and even death. How could this happen? Normal embryonic development will not touch the myometrium of the uterus. The uterine wall can protect the embryo and the uterus. However, if the uterine wall is damaged, wounds will appear, and the embryonic hair will directly pass through the myometrium of the uterus through these wounds. In medicine, this situation is called placenta accreta. I believe everyone understands it. Let's take a look at how to deal with it more appropriately.

1. Is there a high chance of hysterectomy after embryo embedding?

After the baby is born, the embryo will normally leave the uterus automatically. If the placenta is implanted, the embryo will not fall out by itself. At this time, the doctor will use artificial separation. If it fails, surgery will be required to remove the uterus. It is a last resort option, otherwise the pregnant woman's life will be in danger.

It is very serious for the embryo to penetrate the uterine myometrium. Evacuation is the main treatment method with a high chance of about 85%. Therefore the uterus is likely to be cleared when the embryo is inserted. However, if the area of ​​insertion is small and the bleeding is not severe, local sutures can be used to stimulate blood circulation, and both sides of the uterine arteries can be ligated to stimulate blood circulation and observe the situation. If the embedded embryonic tissue can be digested and absorbed, the uterus can be saved.

How to deal with placenta accreta

If you have had frequent miscarriages or have had a caesarean section before, your chances of developing this complication are much greater than other people.

1. Those who do not want to have children temporarily should take good contraceptive measures, as abortion will damage the uterine wall.

2. Pregnant women with uterine fibroids should pay attention to check-up.

3. Choose natural birth whenever possible. Some women feel that cesarean section is less painful, but this can easily affect the next pregnancy.

For pregnant women with high-risk factors such as multiple abortions, cesarean sections, placenta previa, etc., doctors should inform the pregnant women and their relatives in detail before delivery, because incomplete fetal separation may cause internal bleeding during delivery. If traditional treatment fails, hysterectomy may be necessary to save the life of the pregnant woman.

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