RESUMO
Objective: to find out maternal outcome after conservative management of "placenta accreta"
Study design: case series
Place and Duration of Study: Allied Hospital, Faisalabad from 1[st] July 2006 to 30[th] June 2015
Material and Methods: 22 patients with placenta accreta, where fertility was desired were selected for conservative management. Patient who were hemodynamically unstable after delivery of the fetus due to massive hemorrhage or those who presented with prolonged rupture of membrane were excluded from study
Results: conservative management was successful in 19 [86.36%] patients in terms of uterine conservation. However, 03 [13.64%] patients developed PPH and 02 [9.09%] developed postpartum endometritis. Hysterectomy was done in 03 [13.64%] patients. No mortality took place
Conclusion: conservative management of placenta accreta is a reasonable option in selected cases where fertility is desired. However, it requires regular follow-up till complete resorption or expulsion of placenta