Patient with Known Placenta Previa and Accreta for Elective Cesarean Hysterectomy

  • Thomas L. Archer


A 34-year-old woman, G3P2, is seen in consultation by the Obstetric Anesthesia Service at 32 weeks estimated gestational age (EGA) prior to planned cesarean hysterectomy at 34 weeks EGA for placenta previa and accreta (L-1). The placenta appears to be invading the patient’s bladder, right rectus abdominis muscle, and possibly the colon. In general, the patient is in excellent health (L-2) and her two prior cesarean deliveries were performed under spinal anesthesia with no difficulties and with excellent postoperative pain control from neuraxial opioids.


  1. 1.
    This chapter draws from: Martin E, Archer T. Anesthetic considerations for placenta accreta. In: Silver RM, editor. Placenta Accreta syndrome. Boca Raton: CRC Press Taylor and Frances Group; 2017.Google Scholar
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    Chestnut DH, Dewan DM, Redick LF, Caton D, Spielman FJ. Anesthetic management for obstetric hysterectomy: a multi-institutional study. Anesthesiology. 1989;70:607–10.CrossRefGoogle Scholar
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    Chestnut DH, Redick LF. Continuous epidural anesthesia for elective cesarean hysterectomy. South Med J. 1985;78:1168–9.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Thomas L. Archer
    • 1
  1. 1.Department of Anesthesiology 2008–2015University of California San Diego School of MedicineSan DiegoUSA

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