Maternal outcome after conservative management of placenta percreta at caesarean section: a report of three cases and a review of the literature.
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.
The Sydney Gynaecologic Oncology Group, Sydney Cancer Centre, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia; University of Sydney, Camperdown, New South Wales, Australia.
Selvan
S
Pather
Sasha
S
Strockyj
Antony
A
Richards
Neil
N
Campbell
Brad
B
de Vries
Robert
R
Ogle
D000328:Adult; D002585:Cesarean Section; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010921:Placenta Accreta / Q000601:surgery / Q000628:therapy*; D006473:Postpartum Hemorrhage / Q000209:etiology; D011247:Pregnancy; D018805:Sepsis / Q000209:etiology
caesarean section; percreta