Expectant management of placenta accreta after a mid-trimester pregnancy loss: a case report and a short review

Objectives: Placenta accreta spectrum (PAS) disorders are a significant cause of maternal morbidity and mortality. Traditionally women with PAS are offered surgery, while expectant management is still considered investigational. Case presentation: We present a case of expectant management of PAS after pregnancy loss at 19-weeks. PAS was suspected at sonography and confirmed by MRI. Patient was offered expectant management to preserve fertility. This consisted of leaving the placenta in situ, followed by in- and out-patient clinical and sonographic examinations and blood tests. After five weeks placental detachment occurred without major complications. Conclusions: Our report suggests that expectant management could be a safe option in selected cases of PAS after mid-trimester pregnancy loss. We recommend expectant management should be offered in referral centers for PAS.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Expectant management of placenta accreta after a mid-trimester pregnancy loss: a case report and a short review ; volume:11 ; number:1 ; year:2022 ; extent:07 ; Case reports in perinatal medicine ; 11, Heft 1 (2022) (gesamt 07)

Contributors, Places and Time

• Creator: Fumagalli, Diletta ; Bignardi, Tommaso ; Vanzulli, Angelo ; Corbella, Paola Francesca ; Meroni, Mario Giuseppe ; Interdonato, Maria Lieta

Further information

• DOI: 10.1515/crpm-2021-0008
• URN: urn:nbn:de:101:1-2022071514492389041060
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:27 AM CEST