Abstract
An: 2017, Nr.4, Articol Nr. 9
Title: 

ABNORMAL PLACENTATION – MATTER OF LIFE AND DEATH: PAST, PRESENT AND FUTURE

Authors: 

      V.G. Rugină - Gr.T. Popa” University of Medicine and Pharmancy, Iasi, Obstetrics Clinic IV
      Aniela Rugină - Gr.T. Popa” University of Medicine and Pharmancy, Iasi, Pediatrics Clinic I
      Anda Pristavu, Mihaela Grigore, A. Cărăuleanu - Gr.T. Popa” University of Medicine and Pharmancy, Iasi, Obstetrics Clinic II
      R. Socolov - Gr.T. Popa” University of Medicine and Pharmancy, Iasi, Obstetric Clinic
      ABNORMAL PLACENTATION – A MATTER OF LIFE AND DEATH: PAST, PRESENT AND FUTURE (Abstract): Placenta accreta spectrum is a complex obstetric patology that occurs when the whole placenta or only a part of it is abnormally adherent to the uterus, often resulting in complication in the peripartum period such as severe hemorrhage, a possible need for caesarean-hysterectomy, and sometimes severe injuries to pelvic organs. There has been a gradual shift in the management of placenta accreta towards conservatives procedures that are involving uterine and placental conservation. The main aims are to reduce pelvic injury and to obtain haemostasis with the aid of interventional radiology (insertion of balloons that occlude the internal iliac arteries). These strategies have demonstrated to reduce morbidity and mortality in carefully selected cases of placenta accreta.
Key words: ABNORMAL ADHERENT PLACENTA, CONSERVATIVE TREATMENT, CAESAREAN HYSTERECTOMY
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