Unexpected Placenta Accreta During Cesarean Section With Spinal Anesthesia

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Medically Challenging Case Report Poster 


Jeanne Hunter  
Department of Anesthesiology, University of Connecticut School of Medicine


Jamie Zorn  
St. Francis Hospital


Placenta accreta is a rare pregnancy disorder occurring in 1 in 272 deliveries in the United States. As the Cesarean section rate has increased so has the incidence of placenta accreta. Severe hemorrhage is the leading cause of maternal morbidity and mortality in this disorder, and often necessitates blood transfusion and/or hysterectomy at time of delivery. We report the case of a 30-year-old woman intraoperatively diagnosed with placenta accreta while undergoing an elective cesarean section under spinal anesthesia. Obstetric and anesthetic management options of this rare disorder are discussed in this presentation.

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Enter up to two references.

1. Placenta accreta spectrum. Obstetric Care Consensus No. 7. American College of Obstetricians and Gynecologists. Obstet Gynecol 2018;132:e259-75
2. Lilker SJ, Meyer RA, Downey KN, Macarthur AJ. Anesthetic considerations for placenta accreta. International Journal of Obstetric Anesthesia. 2011; 20(4) 288-292