Conservative management of placenta percreta

Experiences in two cases

Amaryllis M E Hays, Kevin C. Worley, Scott R. Roberts

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

BACKGROUND: The management of an abnormally invaded placenta presents a challenging obstetric problem. Recent reports have suggested that a conservative approach to the treatment of this condition is appropriate in selected cases. We present the courses of two women with suspected placenta percreta who were managed conservatively and the complications that ensued. CASES: Two multiparous women underwent elective repeat cesarean deliveries and were found to have clinical evidence of placenta percreta with bladder invasion. In both cases, the placenta was left in situ and medical management was attempted with methotrexate. Both women developed significant delayed complications requiring reoperation and hysterectomy, and both required multiple transfusions. CONCLUSION: Conservative management of the abnormally invaded placenta should be undertaken with caution, and complications should be anticipated.

Original languageEnglish (US)
Pages (from-to)425-426
Number of pages2
JournalObstetrics and Gynecology
Volume112
Issue number2 PART 2
DOIs
StatePublished - Aug 2008

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Placenta Accreta
Placenta
Hysterectomy
Reoperation
Methotrexate
Obstetrics
Urinary Bladder
Conservative Treatment
Therapeutics

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Conservative management of placenta percreta : Experiences in two cases. / Hays, Amaryllis M E; Worley, Kevin C.; Roberts, Scott R.

In: Obstetrics and Gynecology, Vol. 112, No. 2 PART 2, 08.2008, p. 425-426.

Research output: Contribution to journalArticle

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