Maternal outcome after conservative management of placenta percreta at caesarean section: A report of three cases and a review of the literature
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.
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These previous studies were not population-based and lacked an appropriate comparison group.
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Comparison of Two Protocols for Management of Placenta Accreta at a Tertiary Care Center in Pakistan
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- Authors
- Pather, S., Strockyj, S., Richards, A., Campbell, N., de Vries, B., & Ogle, R.
- Affiliations
- The University of Sydney (AU)
- Royal Prince Alfred Hospital (AU)
- University of Sydney Camperdown New South Wales Australia
- Corresponding author
- Pather, Selvan
- ORCID
- Pather, Selvan
- Venue
- Australian and New Zealand Journal of Obstetrics and Gynaecology
- Publisher
- Wiley
- Published
- 2013-11-13
- Volume
- 54
- Issue
- 1
- Pages
- 84-87
- ISSN
- 0004-8666 (ISSN-L)
- 1479-828X
- OpenAlex
- W2077459180
- Cited by
- 95
- References
- 25
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 10 · 2023: 6 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 13 · 2017: 10 · 2016: 5 · 2015: 6 · 2014: 2
- FWCI
- 4.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian and New Zealand Journal of Obstetrics and Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- placenta percreta, conservative treatment, cesarean section, placental retention, maternal morbidity, emergency hysterectomy, postpartum complications
- MeSH terms
- Adult, Cesarean Section, Disseminated Intravascular Coagulation, Female, Postpartum Hemorrhage, Humans, Hysterectomy, Placenta Accreta, Pregnancy, Sepsis
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