Conservative management in puerperal hemorrhage due to placenta accreta

Abstract

The placenta accreta spectrum is on the rise due to multiple causes, especially the
increase in cesarean sections. Diagnosis is challenging, as most are associated with
hemorrhage after delivery. Prenatal morphologic ultrasonography should evaluate
for signs of suspected placental accreta. We present the case of a patient diagnosed
with placenta accreta after abundant puerperal hemorrhage 48 hours after delivery,
which required two uterine curettages and the administration of intramuscular
methotrexate. As for treatment, although previously radical management was
chosen, the current trend is conservative management in order to preserve the
patient's fertility.