Center of Excellence for Morbidly Adherent Placenta

Morbidly adherent placenta (MAP), including the spectrum of placenta accreta, increta, and percreta, encompasses some of the most challenging alterations of the uteroplacental unit encountered in obstetrics. Surgical management of patients with MAP by an experienced, multidisciplinary team in a tertiary center reduces the need for massive transfusion, second surgery, or a composite morbidity when compared with women delivered in traditional settings. Tertiary care centers have long upheld the mission not only to care for patients most in need and teach the next generation of clinicians, but also to advance scientific knowledge about disease and health through research. An essential component of care that can be promoted at any Center of Excellence is quality improvement. Patient and family education and outreach are central components of patient care. It is striking how few patients or their families have heard of placenta accreta prior to their index pregnancy.