The Maternal-Fetal Health Center at Overland Park Regional Medical Center routinely cares for patients diagnosed with placenta accreta disorders. We offer a cohesive, multidisciplinary approach to care for women and their families, which delivers the best possible maternal and neonatal outcomes.
At the Maternal-Fetal Health Center at Overland Park Regional Medical Center, we understand your pregnancy requires extra attention and we are here to help you through your journey. The Maternal- Fetal Health Center offers the area's most experienced team to support high-risk pregnancies and the most advanced, comprehensive care to you and your baby. Our specialists work together to coordinate all your needs in one convenient location. Our goal is to deliver exceptional, personalized care to your family.
A skilled team partnering with you
Our experience and success in treating even the most critical cases of placenta accreta spectrum is attracting a growing number of patients from across the region. Patients are seeking the best available maternal, fetal, and neonatal care available in one location and they find it at the Maternal-Fetal Health Center at Overland Park Regional Medical Center. We are prepared and equipped to address the needs of you and your family during every stage of this complex journey. Our team is highly coordinated and is able to mobilize required resources within minutes should emergencies arise along the way. You and your baby will be cared for by a highly skilled, highly experienced team comprised of:
- Maternal-Fetal Medicine specialist
- High-risk obstetrician
- Interventional Radiologist
- Blood Bank
- Perinatal Social Workers
- Specialized nurses
- Trauma surgeon
- Pulmonary & Critical Care
About Placenta Accreta Spectrum (PAS)
The placenta is formed soon after a woman becomes pregnant. It attaches to the wall of the uterus and quickly starts supplying oxygen and nutrients to the growing fetus through the umbilical cord. After the baby is delivered, the placenta usually detaches itself from the uterine wall and is pushed out through the birth canal in vaginal deliveries or manually removed during a cesarean section delivery. In a pregnancy complicated by placenta accreta disorders, blood vessels and other parts of the placenta invade the wall of the uterus and become inseparable. There are several types of placenta accreta. They are classified based on the degree of invasion into or through the uterus:
- Placenta accreta - the placenta grows firmly into the uterine lining (78% of cases)
- Placenta increta - the placenta grows at least halfway into the uterus (17% of cases)
- Placenta percreta - the placenta grows through the wall of the uterus and, in some cases, into nearby organs, such as the bladder, colon, or blood vessels (5% of cases)
Diagnosis saves lives
Placenta accreta typically causes no issues during pregnancy. The concern for complications is highest at the time of delivery. Early diagnosis allows for time to plan for delivery so the risk of severe bleeding can be minimized. This improves outcomes for mothers and babies. Diagnosis of placenta accreta can be made by imaging tests which look at the location of the placenta and abnormal growth into the wall of the uterus. Diagnostic imaging tests include:
- Ultrasound - most often used to diagnose placenta accreta
- Magnetic Resonance Imaging (MRI) - MRI is not performed in every instance of placenta accreta. It is usually only ordered for pregnancies in which ultrasound findings indicate complications that will likely require advanced multispecialty care (ex. placental invasion into maternal bladder), the placenta is posterior and more difficult to evaluate with ultrasound, or ultrasound results are ambiguous.
At Overland Park Regional Medical Center we identify at-risk patients through the state-of-the-art imaging, including 2D and 3D ultrasound. Our Maternal-Fetal Medicine team's experience in evaluating and treating placenta accreta continues to improve maternal and neonatal outcomes and distinguishes Overland Park Regional Medical Center as a regional referral facility.
Are you at risk?
Factors that may increase the chance of developing placenta accreta:
- Placenta previa - a condition in which the placenta covers all or part of the cervix; an estimated 75% of women with placenta accreta have placenta previa
- Prior cesarean delivery - studies show approximately 66% of women with placenta accreta have had prior cesarean deliveries; the risk increases with increasing numbers of cesareans
- Prior uterine surgery - including D&C (dilation and curettage) or myomectomy (uterine fibroid removal)
- In vitro fertilization (IVF)
- Advanced maternal age - 35 years or older
- UTERINE CONDITIONS that cause abnormalities in the lining of the uterus, such as fibroids Those at the highest risk of developing placenta accreta are those who have placenta previa in combination with a history of prior cesarean delivery.