Two cases of placenta accreta with conservative management

Abstract

Placenta accreta is an important obstetric complication which can lead to life-threatening postpartum hemorrhage. The mortality rate has been reported to be high in developing countries. The authors report two cases of patients who were successfully treated with conservative management. Case 1: A 36-year-old woman was diagnosed as having placenta accreta following vaginal delivery. The patient was hemodynamically stable and was given conservative management. On the 74th day postpartum, the retained placenta was naturally delivered without significant hemorrhage. Case 2: A 38-year-old woman was referred to the authors' tertiary clinic for advanced management of an entirely retained placenta. The patient was hemodynamically stable and opted to preserve the uterus. Conservative management was selected as the course of action. On the 95th day postpartum, the retained placenta with necrosis was naturally delivered without complication. Neither case used methotrexate (MTX) or blood product.