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Fertility after conservative treatment of placenta accreta
Gilles Kayem1, Emmanuelle Pannier, François Goffinet
1Maternity Port-Royal, Cochin-Saint Vincent-de-Paul Hospital, University of Paris V, France. gilles.kayem@cch.ap-hop-paris.fr
Objective:
To report a pregnancy with vaginal delivery after a preceding pregnancy complicated by placenta accreta that was managed conservatively.
Design:
Case report.
Setting:
University medical center.
Patient(S):
A patient with placenta accreta that was managed conservatively.
Intervention(S):
The placenta was left in situ and both uterine arteries were embolized.
Main Outcome Measure(S):
Preservation of reproductive capacity.
Result(S):
The patient had a term pregnancy with uncomplicated vaginal delivery.
Conclusion(S):
Pregnancy is possible after conservative treatment of placenta accreta. This treatment should be considered in the appropriate circumstances to preserve reproductive capacity.