Placenta increta; conservative management -- a successful outcome. Case report and literature review

S R Adair1, D Elamin, S Tharmaratnam

  • 1Royal Jubilee Maternity Unit, Royal Victoria Hospital, Belfast, Northern Ireland, UK.

Placenta increta, a rare complication of pregnancy, is associated with significant postpartum hemorrhage often requiring emergency hysterectomy. We report a case of conservative management, with a combination of parenteral methotrexate, serial ultrasound and Doppler assessment, followed by interval manual removal of placenta.