Placenta Creta


D efinition Abnormal adherence of the placenta to the uterine wall.

Clinical Features

Epidemiology

  • Placenta creta occurs in 1 in 2500 pregnancies.

  • Historically all subtypes of placenta cretas were rare.

  • More than 80% of cases occur in patients with a prior cesarean section (C-section), and the rise in incidence is presumed to be due to the increased rate of C-section.

  • Other risk factors include fibroids, Asherman's syndrome, previous uterine surgery (including curettage), high parity, and abnormal implantation.

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