EC Gynaecology

Placenta increta is a serious condition in pregnancy that occurs when the placenta grows deep into the walls of the uterus occupying the uterine myometrium. Abnormal placental implantation is one of the main causes of maternal morbidity and mortality, three variants are known: accreta, increta, and percreta. If the condition is diagnosed early in pregnancy, then it is necessary for a caesarean delivery followed by a hysterectomy. The diagnosis of this condition is made through histopathological examination when all other conservative treatment has failed, and after a good imaging examination where MRI plays an important role. Placenta previa increta refers to a condition where the absence of decidua and the presence of chorionic villi inside the myometrium is noticed during microscopic examination. We report two gravida female patients presented as obstetric emergencies due to prolonged bleeding, during their third trimester. Placenta increta and other conditions of this spectrum are considered to be very challenging obstetric conditions that may be life threatening for both the mother and the baby. Regular check-ups during pregnancy, especially in mothers with placenta previa, previous cesarean deliveries, or other uterine surgeries and early prenatal diagnosis, are essential to control and avoid complications, and optimize maternal and fetal outcomes.

 Keywords: Placenta Previa Spectrum; Hysterectomy; Vaginal Hemorrhage; Placenta Increta

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