Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in a favorable outcome in subsequent pregnancies.

Journal: Fertility And Sterility
Published:
Abstract

Objective: To present a case of selective arterial embolization for the treatment of placenta increta in a patient with subsequent pregnancy.

Methods: Case report and literature review. Methods: Community-based hospital. Methods: A 31-year-old G2P1 woman with placenta increta presenting with delayed postpartum hemorrhage. Methods: Selective uterine artery embolization. Methods: Cessation of uterine hemorrhage, future pregnancy.

Results: The patient's uterine bleeding immediately resolved. She subsequently delivered a healthy neonate at term without recurrence of abnormal placentation.

Conclusions: Arterial embolization is effective for treating placenta increta in women who wish to preserve fertility. A review of the literature demonstrates a 76.9% success rate and an 11% complication rate.

Authors
Mark Alanis, Bradley Hurst, Paul Marshburn, Michelle Matthews