Adherent Placenta

When the placenta one-hour after delivery still has not speared and left the upper uterine segment. This occurs when the placenta has grown into the uterine muscle. Types:-

· Placenta accreta- into muscles

· Placenta increata- deep in muscle

· Placenta percrata- through muscle

Management

· Is usually hysterectomy

· Some times doctors can remove it as a piecemeal under general anesthesia or leave it to be absorbed.