ABSTRACT
Background: The adherent placenta is a range of pathologic adherence of the placenta, including placentaincreta, placenta percreta, and placenta accreta. Villous invasion depth determines the severity of thecomplications, and the villi sometimes invade the surrounding pelvic organs. Therefore, any surgical procedurebecomes technically difficult, especially with excessive neovascularity. Objective: The prenatal diagnosis of theadherent placenta has become essential to its management and outcome. In this article, we aimed to review thepublished literature that discussed adherent placenta diagnosis and management. Method: A comprehensivesearch was done using biomedical databases including Medline, and PubMed to study the role of AdherentPlacenta. Keywords used in our search through the databases were “Adherent Placenta”, “Placenta Increta,Placenta Percreta, and Placenta Accreta”, and “Pathophysiology and Management”. Conclusion: The mainstayimaging technique in cases of placenta accreta is ultrasound. Pelvic ultrasound is highly reliable to diagnose orexclude the presence of placental adhesive disorders. However, when the ultrasound results are not conclusive,MRI is recommended, because it has a higher potential benefit. In general, the recommended management of anadherent placenta is planned cesarean hysterectomy with a hysterotomy that avoids the placenta. Appropriatecounseling can be conducted to consider alternative management strategies. A center with a multidisciplinaryteam experienced in the care of the condition should conduct the delivery in order to optimize the response toevery peri and intraoperative complication.