Abstract
With ever increasing rates of cesarean section, the incidence of placenta accreta
has multiplied manifold and is bound to increase even further. Appropriate management
of placenta accreta is multidisciplinary requiring planning beforehand and has backup
strategies for any unanticipated complications. Suspecting and establishing the diagnosis
of accreta changes the course of management from a major emergency operative endeavor
to expectant therapy. Identifying placenta accreta in pregnancy raises a red flag
for life-threatening complications at the time of delivery as diagnosing accreta in
the third stage of labor can be catastrophic and might require multiple blood transfusions,
ureteral injuries, cystotomy, and infectious complications with emergency cesarean
hysterectomy. Expectant management with methotrexate helps in tiding over the life-threatening
complications and preventing hysterectomy, thus, SAVING the uterus.
Keywords
Placenta accreta - Multidisciplinary - Emergency hysterectomy - Conservative - Methotrexate
