[Comprehensive care of placenta accreta: From diagnosis to clinical management]

The prevalence of abnormally invasive placenta (AIP) has increased over recent decades. AIP is associated with significant maternal morbidity, mainly due to the high risk of massive hemorrhage, the need for blood transfusions, urologic injuries, and the frequent use of hysterectomy. A multidisciplinary approach is essential, involving obstetricians, anesthesiologists, radiologists, surgeons, and intensive care specialists. The internationally recommended management strategy is cesarean hysterectomy. However, alternative approaches can be considered, taking into account the severity of placental invasion and the woman's desire to preserve fertility. Individualized, anticipatory, and standardized management in an expert center helps reduce the maternal and neonatal complications associated with this high-risk condition. This work describes the various stages of care, from prenatal diagnosis to surgical treatment.