Maternal outcome after conservative management of placenta percreta at caesarean section: a report of three cases and a review of the literature

Aust N Z J Obstet Gynaecol. 2014 Feb;54(1):84-7. doi: 10.1111/ajo.12149. Epub 2013 Nov 13.

Abstract

Retaining the placenta in situ at caesarean section for placenta percreta and awaiting placental reabsorption is widely practiced; however, there is limited evidence on the efficacy and complications of this strategy. We present three cases of placenta percreta managed conservatively and note that all three women experienced significant complications. A review of the literature showed that despite initial conservative management, 40% of women subsequently require emergency hysterectomy and 42% will experience major morbidity.

Keywords: caesarean section; percreta.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cesarean Section*
  • Disseminated Intravascular Coagulation / etiology
  • Female
  • Humans
  • Hysterectomy
  • Placenta Accreta / surgery
  • Placenta Accreta / therapy*
  • Postpartum Hemorrhage / etiology
  • Pregnancy
  • Sepsis / etiology