Optimal strategies for conservative management of placenta accreta: a review of the literature

Abstract

Placenta accreta is the leading cause of peripartum hysterectomy. While hysterectomy has long been the mainstay of treatment for placenta accreta, there has been a gradual shift over the last decade toward conservative management, both to avoid serious maternal morbidity and to preserve fertility. Nevertheless, there is no consensus regarding optimal strategies for the management of placenta accreta. The aim of this paper is to provide a comprehensive literature review regarding management of placenta accreta, especially from the point of view of its conservative treatment and strategies pursued in our practice.