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 a...

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Veröffentlicht in:Australian & New Zealand journal of obstetrics & gynaecology 2014-02, Vol.54 (1), p.84-87
Hauptverfasser: Pather, Selvan, Strockyj, Sasha, Richards, Antony, Campbell, Neil, de Vries, Brad, Ogle, Robert
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Sprache:eng
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Zusammenfassung: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.
ISSN:0004-8666
1479-828X
DOI:10.1111/ajo.12149