Can placenta percreta cause any difficulty during delivery?

Question

Hi doctor,

I am pregnant with my first child. I was diagnosed with preeclampsia in the first trimester. My obstetrician told me that I have a placenta percreta, and I will require a C-section.

Additionally, my dentist has told me to make sure that the anesthesiologist should know about your difficulty in airway breathing because of trismus. I am worried about my delivery and want to know how to proceed. Please advise.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

If you have preeclampsia (high blood pressure and signs of liver or kidney damage that occur in women after the 20th week of pregnancy) alone, then the delivery can be done under spinal anesthesia. As you also have placenta percreta (a condition where the placenta attaches to the uterus and grows through it), the surgery may be very extensive with more blood loss and hemodynamic instability. So general anesthesia will be the best one. Since you have trismus (restricted opening of the mouth) and difficulty in airway breathing, the anesthesiologist should always be ready with all the aids for difficult intubation and ventilation.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.