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Women with this condition are encouraged to talk with a counselor or therapist if they feel overwhelmed, anxious or depressed. Reaching out to an obstetrician, midwife or primary care provider is an important first step when patients or family members identify these symptoms. Many accreta patients find help and support from other patients who have this condition or have in the past. One such organization is Hope for Accreta.
Resources and Support Services The BWH Abnormal Placentation Program Established in , our team has cared for hundreds of women with uterine and placental disorders, including placenta accreta. Additionally, access to cell salvage, autologous blood transfusion, and a hybrid operating room are available. Our hospital offers hour maternal fetal medicine, high-risk anesthesia, blood bank and interventional radiology coverage. Additionally, access to cell salvage, autologous blood transfusion, and a hybrid operating room is available.
In addition to delivery planning and management, we accept transfers of complicated postpartum patients and provide inter-pregnancy care, including management of retained accretas. For patients with placenta accreta who have questions or are seeking another opinion contact the Mass General Brigham Online Specialty Consultations. These specialists focus on the mental health needs of women throughout the reproductive life cycle including during high risk pregnancies and the postpartum period.
Close coordination between maternal-fetal specialists and the psychiatry team allows women to either initiate or transfer their psychiatric care to this program if needed. Call the BWH outpatient psychiatry service for appointments at If you are diagnosed with placenta accreta, you'll likely have a team of doctors working with you during your pregnancy including surgeons and anesthesiologists to prevent too much blood loss or other complications from occurring.
Placenta accreta warning signs to look out for If you notice any third-trimester bleeding or spotting , see your health care practitioner right away. There's a chance that your doctor will tell you to abstain from sex called pelvic rest or to go to the hospital.
Possible complications of placenta accreta Placenta accreta can increase the risk of serious vaginal bleeding and hemorrhaging after a delivery, which may require a blood transfusion. Though extremely rare, it's also possible to experience a condition in which your blood doesn't clot normally disseminated intravascular coagulation , lung failure or kidney failure.
How is placenta accreta treated? If the condition is diagnosed in time, you and your health care practitioner should develop a birth plan that allows for the safest delivery for both you and your baby, along with a contingency plan for an emergency spontaneous delivery. A scheduled C-section before your due date — as early as 34 weeks — is almost always the recommended route, since this lowers the risk of bleeding from contractions or labor.
Unfortunately, the C-section will usually — though not always — be followed by a hysterectomy surgical removal of the uterus with the placenta still attached, which may be the best option to keep you safe and prevent life-threatening blood loss. If you don't have a hysterectomy, you may be more likely to have complications, including placenta accreta, in the future. While it may make delivery more challenging, the extra precautions and interventions can ensure that you stay safe and that your bundle of joy is born perfectly healthy.
What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations.
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