Can routine prenatal checkups detect placental adhesion?

Mar 28, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Placental adhesion usually cannot be detected during routine prenatal checkups. It is primarily caused by multiple uterine curettages leading to endometrial damage, or a history of uterine perforation, placenta accreta, myomectomy, and other conditions that result in intrauterine infection and poor endometrial growth. It is typically only discovered during delivery when the placenta fails to expel normally. Routine prenatal examinations generally cannot identify this condition.

Routine prenatal checkups generally cannot detect placental adhesion.

Placental adhesion usually refers to the condition in which placental villi only invade the uterine wall. It is a common obstetric condition occurring within the uterine wall, primarily caused by repeated dilation and curettage leading to endometrial damage, or a history of uterine perforation, placenta accreta, myomectomy, etc., resulting in intrauterine infection and poor endometrial regeneration. This condition is typically not discovered until delivery, when the placenta fails to be expelled naturally. Routine prenatal examinations usually cannot identify it. In such cases, manual removal of the placenta is often required to剥离 and extract the placental tissue.

Since placental adhesion can easily lead to postpartum hemorrhage and endanger the mother's life, it is recommended to undergo regular prenatal checkups during pregnancy and avoid high-risk factors associated with pregnancy to reduce the likelihood of such complications.