Placenta accreta is becoming an increasingly common com- plication of pregnancy. Prenatal diagnosis seems to be a key factor in optimizing the counseling, treatment, and outcome of women with placenta accreta. Cesarean hysterectomy is probably the preferable treatment.
Conservative management should only be used in highly selected cases. Even though there may be a rationale to add adjuvant therapy in such cases, there is no evidence-based proof that such therapy is actually of benefit or that it is not in fact harmful.