A 35-year-old woman with a history of three previous cesarean sections is admitted for elective surgery at 37 weeks of gestation. The placenta is found to be attached deeply into t... A 35-year-old woman with a history of three previous cesarean sections is admitted for elective surgery at 37 weeks of gestation. The placenta is found to be attached deeply into the uterus. Which of the following is the most likely diagnosis?
Understand the Problem
The question describes a patient with a history that increases the risk of placental invasion abnormalities. It asks us to choose the most likely diagnosis given the finding of a placenta attached deeply into the uterus.
Answer
Placenta accreta spectrum (PAS)
The most likely diagnosis is placenta accreta spectrum (PAS). This condition is characterized by the abnormal adhesion of the placenta to the myometrium, especially in women with a history of multiple cesarean sections.
Answer for screen readers
The most likely diagnosis is placenta accreta spectrum (PAS). This condition is characterized by the abnormal adhesion of the placenta to the myometrium, especially in women with a history of multiple cesarean sections.
More Information
The risk of placenta accreta spectrum (PAS) significantly increases with a history of cesarean sections. The presence of the placenta deeply attached to the uterus in a woman with three prior cesarean sections strongly suggests PAS.
Tips
A common mistake is to not consider the patient's history of multiple cesarean sections, which is a significant risk factor for placenta accreta. Always consider the patient's obstetric history when evaluating potential complications.
Sources
- Placenta Accreta Spectrum (PAS): Diagnosis, Clinical Presentation ... - pmc.ncbi.nlm.nih.gov
- Placenta Accreta Spectrum - ACOG - acog.org
- Placenta accreta spectrum-a catastrophic situation in obstetrics - PMC - pmc.ncbi.nlm.nih.gov
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