The experience of childbirth complications placenta accreta

The paper presents own experience of childbirth in patients with abnormal attachment of the placenta (placenta accreta, increta, percreta). An algorithm for doing similar kinds: the detection of ultrasound at 11-14 weeks of gestation chorionic / placenta, localized in the internal os of the uterus, it is necessary to carry out a targeted search of ultrasonic signs of placental abnormalities; in the absence of urgent situations (bleeding from the genital tract) consider the optimal timing of delivery 37 weeks of gestation; the best way to laparotomy considered lower-medial access; the best way to caesarean section is a corporeal or bottom modification operation; when detecting the true ingrowth placenta should not attempt to remove the placenta in order to avoid massive bleeding (placenta in situ); after birth shows ligation of major vessels pelvic (uterine, ovarian and internal iliac arteries); It must be equipped with the operating system for blood reinfusion (System Sell Saver).