During the month of October, ICAN will be focused on bringing awareness to the condition of placenta accreta, when the placenta attaches too deeply into the uterine wall. This condition carries a 7% mortality risk to the mom due to massive blood loss. Moms are normally made very aware of the risk of uterine rupture when attempting a VBAC, but very few moms are counseled on accreta when considering a repeat cesarean. Many women hear the word accreta for the first time when they are diagnosed with it. With the cases of accreta on the rise due to high cesarean rates, chances are that you will know someone in your lifetime that will face this scary diagnosis.
ACOG states that “The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. Women at greatest risk of placenta accreta are those who have myometrial damage caused by a previous cesarean delivery with either anterior or posterior placenta previa overlying the uterine scar. The authors of one study found that in the presence of a placenta previa, the risk of placenta accreta was 3%, 11%, 40%, 61%, and 67% for the first, second, third, fourth, and fifth or greater repeat cesarean deliveries.”
On October 15th we are going to take a day to remember and honor the moms and babies that we lost to accreta, a very real risk with this condition.
Originally published and adapted from this ICAN blog post.