Expectant management of placenta accreta after a mid-trimester pregnancy loss: a case report and a short review.

ABSTRACT:

Objectives

Placenta accreta spectrum (PAS) disorders are a significant cause of maternal morbidity and mortality. Traditionally women with PAS are offered surgery, while expectant management is still considered investigational.

Case presentation

We present a case of expectant management of PAS after pregnancy loss at 19-weeks. PAS was suspected at sonography and confirmed by MRI. Patient was offered expectant management to preserve fertility. This consisted of leaving the placenta in situ, followed by in- and out-patient clinical and sonographic examinations and blood tests. After five weeks placental detachment occurred without major complications.

Conclusions

Our report suggests that expectant management could be a safe option in selected cases of PAS after m

SUBMITTER: Fumagalli D 

PROVIDER: S-EPMC11800657 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature