My first child was delivered via cesarean section in 2005. 201

Patient's question:

My first child was delivered via cesarean section in 2005. In 2010, my second child was also born via cesarean section. During the surgery, the doctor told me that my placenta was adherent, but did not inform me of the severity of the adhesion. They only advised me to take contraceptive measures to avoid pregnancy again. If I were to become pregnant again, it would be very troublesome to have an abortion. However, today I found out that I am pregnant again. What should I do?

Doctor's answer:

Preventing the occurrence of placenta accreta can also be achieved by adopting effective contraceptive measures, as reducing the number of miscarriages is the most crucial method for prevention. Special attention should be paid to the fact that during surgery, a gentle approach is the best option to avoid excessive force, which could lead to or exacerbate endometrial damage caused by over-curettage.

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