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Placenta Increta

The mid-deep form of the PAS spectrum, characterized by invasion of placental villi into the myometrium.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Placenta Increta?

Placenta increta is the intermediate form of the PAS spectrum. Placental villi invade deeply into the myometrium but do not cross the serosa. Concomitant placenta previa is present in most cases.

Prenatal diagnosis is made from the second trimester onward by ultrasonographic findings of placental lacunae, myometrial thinning and increased vascularity. Doppler and MRI assist in determining the depth of invasion.

Management, similar to accreta, requires planned cesarean hysterectomy and transfusion preparation. Risks of urological injury, massive hemorrhage and prolonged operation time are high. Cases should be delivered in tertiary centers.

Symptoms

Generally asymptomatic in the prenatal period
Painless vaginal bleeding
Bleeding associated with placenta previa
Myometrial thinning on ultrasonography
Placental lacunae (Swiss cheese appearance)
Turbulent vascular flow on Doppler
Failed placental separation at delivery

Risk Factors

History of multiple cesareans
Placenta previa
Previous endometrial surgery
Uterine anomalies
Advanced maternal age and multiparity
IVF pregnancies

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Painless bleeding in the second trimester
  • When abnormal placental findings are detected on routine ultrasonography
  • When placenta previa is suspected in pregnancy after cesarean
  • When advanced imaging (MRI) is indicated
  • When referral to a tertiary center is required for delivery planning

Treatment Methods

01
Detailed ultrasonographic evaluation in the second trimester
02
MRI evaluation of invasion depth when needed
03
Planned cesarean hysterectomy between weeks 34-36
04
Massive transfusion protocol and cell saver
05
Urology assistance and stent placement (in selected cases)
06
Postoperative intensive care and thromboprophylaxis

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.