PREDICTION POSSIBILITIES AND BLOOD SAVING IN PLACENTA ACCRETA
In recent years, there has been a progressive increase in the number of cases of placenta accretion, and in the coming years, these numbers are likely to grow as a result of an increase in the number of cesarean sections and assisted reproductive technologies. The key to improving pregnancy and delivery outcomes is prenatal diagnosis. As the incidence increases, the qualification of clinician’s increases, and currently ultrasound is not inferior to MRI in the diagnosis when performed by an experienced specialist, especially in the case of anterior placental invasion. Ultrasound diagnostics is the procedure of choice for making a diagnosis. This growth also necessitated the development of new surgical methods in an attempt to improve outcomes and reduce the likelihood of complications in the surgical treatment of placenta accretion. Treatment of abnormal placenta infestation depends on the diagnosis, i.e. acreta, increta or percreta with or without involvement of neighboring organs, available surgical and anesthetic knowledge, resources, and the woman's choice regarding the preservation of her fertility. Placenta accretion is a direct indication for operative delivery. This type of anesthesia is mainly spinal or epidural analgesia.