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Clinical aspects and conservative management of placenta accreta

Aberdeen Royal Infirmary, Foresterhill, Aberdeen, AB25 2ZN, UK. Formerly Senior Registrar, King Edward Memorial Hospital, Perth, Western Australia. email: texicle{at}aol.com (corresponding author).

Steven Harding, MRCOG, FRANZCOG, Consultant Obstetrician and Gynaecologist and Senior Lecturer

King Edward Memorial Hospital for Women and School of Women's and Infants Health, The University of Western Australia Perth, Western Australia.

Jan E Dickinson, FRANZCOG, Associate Professor

School of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia.

Placenta accreta is a rare complication of human placentation with fertility and life-threatening sequelae. Traditional management has centred upon hysterectomy and its prompt undertaking has been well documented in saving lives. While in many situations hysterectomy will remain appropriate, there are other management options available involving conservative approaches. This article reviews the diagnosis and demographics of this potentially frightening pathology and highlights the important aspects of conservative management if hysterectomy is to be avoided.