OBJECTIVE: To report a pregnancy with vaginal delivery after a preceding pregnancy complicated by placenta accreta that was managed conservatively. DESIGN: Case report. SETTING: University medical center. PATIENT(S): A patient with placenta accreta that was managed conservatively. INTERVENTION(S): The placenta was left in situ and both uterine arteries were embolized. MAIN OUTCOME MEASURE(S): Preservation of reproductive capacity. RESULT(S): The patient had a term pregnancy with uncomplicated vaginal delivery. CONCLUSION(S): Pregnancy is possible after conservative treatment of placenta accreta. This treatment should be considered in the appropriate circumstances to preserve reproductive capacity.
OBJECTIVE: To report a pregnancy with vaginal delivery after a preceding pregnancy complicated by placenta accreta that was managed conservatively. DESIGN: Case report. SETTING: University medical center. PATIENT(S): A patient with placenta accreta that was managed conservatively. INTERVENTION(S): The placenta was left in situ and both uterine arteries were embolized. MAIN OUTCOME MEASURE(S): Preservation of reproductive capacity. RESULT(S): The patient had a term pregnancy with uncomplicated vaginal delivery. CONCLUSION(S): Pregnancy is possible after conservative treatment of placenta accreta. This treatment should be considered in the appropriate circumstances to preserve reproductive capacity.
Authors: Charlotte N Steins Bisschop; Timme P Schaap; Tatjana E Vogelvang; Piet C Scholten Journal: Arch Gynecol Obstet Date: 2011-06-03 Impact factor: 2.344