Which of the following is dangerous placenta?
## **Core Concept**
The question pertains to the classification of placenta types based on their implantation and adherence to the uterine wall, which is crucial in obstetrics for understanding potential complications during pregnancy and delivery. The types of placenta mentioned relate to their abnormal adherence and invasion into the uterine wall.
## **Why the Correct Answer is Right**
The correct answer, **C. Placenta accreta**, is considered a dangerous type of placenta because it involves the placenta growing too deeply into the uterine wall. Normally, the placenta attaches to the uterine wall but does not invade it. In placenta accreta, the placenta invades the myometrium, which can lead to severe bleeding during delivery because the placenta does not separate properly from the uterus after birth. This condition can be life-threatening and requires careful management.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option seems to represent a normal or less dangerous condition compared to accreta but isn't specified. Generally, a low-lying placenta or marginal previa might not invade the uterine wall deeply.
- **Option B:** This might represent another type of placental abnormality but is not specified. Other types like placenta previa involve the placenta covering the cervical os but don't necessarily imply deep invasion into the uterine wall.
- **Option D:** This option seems to represent a condition that might not be as dangerous or invasive as placenta accreta.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that **placenta accreta spectrum (PAS) disorders**, which include accreta, increta, and percreta, are associated with significant maternal morbidity and mortality due to the risk of massive hemorrhage. A high index of suspicion is necessary in patients with a history of uterine surgery (like cesarean sections) or placenta previa.
## **Correct Answer:** C. Placenta accreta.