Management of placenta accreta.

Abstract:

:Cesarean hysterectomy is considered the reference standard treatment for placenta accreta. In young women who want the option of future pregnancy and agree to close follow-up monitoring, conservative treatment is a valid option. Several key points of both cesarean hysterectomy and conservative treatment remain debatable, such as timing of delivery, attempted removal of the placenta, use of temporal internal iliac occlusion balloon catheters, ureteral stents, prophylactic embolization, and methotrexate. In cases of placenta percreta with bladder involvement, conservative treatment may be the optimal management. Regardless of the chosen option, the woman and her partner should be warned of the high risk of maternal complications related to an abnormally invasive placenta.

authors

Sentilhes L,Goffinet F,Kayem G

doi

10.1111/aogs.12222

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

1125-34

issue

10

eissn

0001-6349

issn

1600-0412

journal_volume

92

pub_type

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