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Review
. 2014 Feb;54(1):84-7.
doi: 10.1111/ajo.12149. Epub 2013 Nov 13.

Maternal outcome after conservative management of placenta percreta at caesarean section: a report of three cases and a review of the literature

Selvan Pather  1 , Sasha Strockyj, Antony Richards, Neil Campbell, Brad de Vries, Robert Ogle
Affiliations
Review

Maternal outcome after conservative management of placenta percreta at caesarean section: a report of three cases and a review of the literature

Selvan Pather et al. Aust N Z J Obstet Gynaecol. 2014 Feb.

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.

Keywords: caesarean section; percreta.

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