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Am J Obstet Gynecol. 2015 Dec;213(6):755-60. doi: 10.1016/j.ajog.2015.04.034. Epub 2015 Apr 30.

Conservative management of morbidly adherent placenta: expert review.

Author information

1
Baylor College of Medicine, Houston, TX. Electronic address: kafox@bcm.edu.
2
Baylor College of Medicine, Houston, TX.
3
Harvard Medical School, Brigham and Women's Hospital.
4
Duke University Medical Center, Durham, NC.
5
University of Maryland School of Medicine, Baltimore, MD.
6
Phoenix Perinatal Associates/Medivax, Banner Good Samaritan Medical Center, University of Arizona, Phoenix, AZ.
7
Eastern Virginia Medical School, Norfolk, VA.
8
University of Pittsburgh School of Medicine, Pittsburgh, PA.
9
Baptist Health Lexington, Lexington, KY.
10
Columbia University College of Physicians and Surgeons, New York, NY.
11
University of Utah Medical School, Salt Lake City, UT.

Abstract

Over the last century, the incidence of placenta accreta, increta, and percreta, collectively referred to as morbidly adherent placenta, has risen dramatically. Planned cesarean hysterectomy at the time of cesarean delivery is the standard recommended treatment in the United States. Recently, interest in conservative management has resurged, especially in Europe. The aims of this review are the following: (1) to provide an overview of methods used for conservative management, (2) to discuss clinical implications for both clinicians and patients, and (3) to identify areas in need of further research.

KEYWORDS:

accreta; conservative management; increta; percreta

Comment in

PMID:
25935779
DOI:
10.1016/j.ajog.2015.04.034
[Indexed for MEDLINE]

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