![]() In cases of placenta accrete, and especially when skills or institutional resources are not available, leaving the placenta in situ may be the best option until definitive treatment is undertaken. When resective procedures are undertaken, a suitable plan to tackle surgical problems allows better control of bleeding and avoids unnecessary hysterectomies. The complexity, determined by tissue destruction, newly formed vessels, and vascular invasion of surrounding tissues, warrants multi-disciplinary management. ![]() Use features like bookmarks, note taking and highlighting while reading Mans Search For Meaning: The classic tribute to hope from the Holocaust. Download it once and read it on your Kindle device, PC, phones or tablets. Placenta praevia and accreta are mainly located in the lower segment, a place that predisposes to persistent uterine bleeding because of the development of new vessels and because it is a poorly contractile area of the uterus. Mans Search For Meaning: The classic tribute to hope from the Holocaust - Kindle edition by Frankl, Viktor E. These factors imply some degree of tissue damage, which can modify the decidualisation process, and produce excessive vascular remodelling. ![]() In the past decade, the incidence of placenta praevia and placenta accreta has increased and seems to be associated with induced labour, termination of pregnancy, caesarean section and pregnancy at older age.
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