Modern management of pregnancy and childbirth with placental attachment disorder

Abstract

One of the main causes of maternal mortality in the 21st century is postpartum uterine hemorrhage. The period of euphoria in the obstetric community associated with successes in the treatment of hypotonic and coagulopathic hemorrhages ended with the emergence of a new problem - placental invasion into the uterus in the postoperative scar. Placenta increta is the result of abnormal implantation into the decidua or myometrium. This condition is rarely diagnosed in obstetric practice, but it is associated with about 7% of maternal mortality. With the increase in the number of cesarean section surgeries, the incidence of placenta increta is increasing. Diagnosis and treatment are important clinical issues. Since there is no standard clinical treatment protocol, the choice of tactics should be carefully and individually considered.