Fertility and pregnancy outcomes following conservative treatment for placenta accreta

Abstract

Successful conservative treatment for placenta accreta does not appear to compromise the patients' subsequent fertility or obstetrical outcome. Nevertheless, patients should be advised of the high risk that placenta accreta may recur during future pregnancies.

Failed conservative management in a case of placenta percreta lead to total hysterectomy for haemostasis and bladder injury

“…Conservative management should be the preferred approach for reducing the morbidity of peripartum hysterectomy and especially for preserving fertility in young women. However subsequent pregnancies after conservative treatment for placenta accreta were mostly successful, a history of placenta accreta is an independent risk factor for recurrent placenta accreta and postpartum hemorrhage [20]. This should be taken into account in order to ensure future safety of pregnancies and deliveries to patients.…”

Placenta accreta treated with planned caesarean hysterectomy

“…8,9 Therefore, this option should be abandoned when other procedures are available. 10 2) Cesarean section hysterectomy: This procedure consists of performing a hysterectomy after the birth of the child without attempting removal of the placenta when placenta accreta is strongly suspected antenatally or after an attempted placental removal when the diagnosis of placenta accreta is not made until during delivery. This option is currently recommended by the American College of Obstetrics and Gynecology as well as various authors, and is considered the gold standard treatment for placenta accreta.…”

Rotura uterina durante el segundo trimestre de gestación asociado a placenta percreta: presentación de un caso y revisión de la literature

“…[35,[37][38][39][40][41][42][43][44] Otro enfoque para la conservación uterina con resección placentaria es el procedimiento triple P [43]. Consiste en realizar una devascularización pélvica, así como la resección de parte del útero con percretismo si es posterior o fundica.…”