Conservative treatment of placenta accreta

Joanna L.W. Hatfield, John R. Brumsted, Brian C. Cooper

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Prolonged retained placenta causing a delayed postpartum hemorrhage is a relatively common occurrence. However, there is a dearth of medical literature describing fertility-preserving treatments when standard therapy fails. We present two cases in which protracted retained placenta due to placenta accreta was successfully treated by hysteroscopic resection. Two nulliparous women had spontaneous vaginal deliveries requiring manual placental extraction. Both experienced delayed postpartum hemorrhage and underwent suction curettage with ultrasound guidance. Both patients were found to have persistent products of conception with imaging consistent with placenta accreta. Both patients failed expectant management and subsequently underwent hysteroscopic resection with complete resolution of their symptoms. We conclude that hysteroscopic resection is a conservative therapeutic option for placenta accreta in stable patients.

Original languageEnglish (US)
Pages (from-to)510-513
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume13
Issue number6
DOIs
StatePublished - Nov 2006
Externally publishedYes

Keywords

  • Delayed postpartum hemorrhage
  • Hysteroscopy
  • Placenta accreta
  • Retained placenta

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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