TITLE:
Conservative Management of Placenta Accreta of Seven Cases
AUTHORS:
Bouchra Fakhir, Mouna Zaki, Karam Harou, Ahlam Bassir, Lahcen Boukhan, Yasser Aitbenkeddour, Hamid Asmouki, Abderraouf Soummani
KEYWORDS:
Placenta Accreta, Conservative Management, Scared Uterus, Postpartum Bleeding, Hysterectomy, Placenta Previa
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.7,
June
27,
2018
ABSTRACT: Introduction: Placenta accreta is a potentially life threatening obstetrical
condition. The incidence has increased. Diagnosis before delivery allows multidisciplinary
planning in an attempt to minimize potential maternal or neonatal morbidity and
mortality. Prenatal
ultrasonography is used to support the diagnosis and guide clinical management
leading probably to favorable outcomes. Actually a conservative option which
includes leaving all or part of the placenta in
situ when fertility preservation is desired is recommended. Methods: We retrospectively reviewed the medical records of all patients diagnosed with
placenta accreta in gynecology-obstetrics department of the university hospital
Mohammed the VI of Marrakesh; Morocco; from January the first 2014 to January
the second 2016. Results: We found seven cases. We described: The epidemiological
characteristics, risk factors, management of placenta accreta, outcomes and
prognosis. The incidence of placenta accreta was 1/3847 deliveries. The mean term of delivery
was 35 weeks. We have adopted a successful conservative treatment in six cases (71.4%). The
radical treatment was adopted in one patient
initially admitted for severe post-partum hemorrhage; the prognosis was good in
85.7% cases. Conclusion: Conservative management of placenta accreta is a safe and efficient
and is an interesting alternative for hysterectomy.