CPM Certified Professional Midwife

Category - The Postpartum Period

A 26 years old female in the third trimester has developed a condition in which the placenta and its blood vessels are attached too deeply to the uterine wall. Of the following, which is the term for this condition?
  1. Retained placenta
  2. Placenta improper
  3. Placenta accreta
  4. Circumvallate placenta
Explanation
Answer: C - Placenta accreta

Placenta accreta is a rare condition in which the placenta is attached too deeply to the uterine wall. Placenta succenturia is an abnormal condition where an accessory lobe of placenta is connected by an artery or vein to the main placenta. In circumvallate placenta, the fetal membranes (chorion and amnion) “double back” on the side facing the fetus. Normal delivery of the placenta occurs shortly after birth of the newborn. Placenta accreta can cause severe vaginal bleeding in the third trimester, and hemmorhage during delivery.
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