Metode terapeutice în sarcina complicată cu placenta praevia şi aderenţă anormală – analiză retrospectivă

Placenta praevia with placenta accreta spectrum consti­tutes a challenging obstetrical pathology. Antenatal diag­nos­tic protocol using ultrasonography and MRI allows an optimal therapeutic plan, ideally managed in a spe­cia­lized tertiary center, with a multidisciplinary team in­volved. The therapeutic management usually implies cae­sa­rean hys­te­rec­to­my. We conducted a retrospective study in the Uni­ver­si­ty Emergency Hospital Bucharest over a five-year period, with the aim to evaluate the thera­peu­tic methods applied for placenta praevia with ab­nor­mal adherence. Through this study, we want to high­light the antenatal diagnostic protocol, but also the sur­gi­cal therapeutic management. Twenty-six cases were iden­ti­fied. The mean maternal age was 35.46 years old, and the mean gestational age at de­li­very was 34 weeks. Eighteen cases were managed elec­tively, while seven pa­tients required emergency manage­ment. The treatment for placenta percreta and placenta increta consisted of cae­sa­rean hysterectomy in all of our cases, while five cases of placenta accreta were managed conservatively without hyste­rec­to­my.