Conservative management of placenta accreta spectrum disorders: a retrospective cohort study
By
Simon Benoit Dubé
Dong Bach Nguyen
Cassandra Della Rocca
Jessica Papillon Smith
Fady W. Mansour
Srinivasan Krishnamurthy
Richard Brown
Andrew Zakhari
April 16, 2026
Clinical Scorecard: Non-surgical Approaches to Managing Placenta Accreta Spectrum Disorders: A Retrospective Analysis
At a Glance
Category Detail
Condition
Key Mechanisms
Target Population Patients with a history of caesarean sections or other risk factors for PASD, including placenta previa.
Care Setting
Key Highlights
Fertility after conservative treatment has been demonstrated but carries risks of postpartum hemorrhage, sepsis, and delayed hysterectomy.
Guideline-Based Recommendations
Diagnosis
Utilize ultrasound and MRI for antepartum diagnosis of PASD, focusing on specific imaging criteria.
Management
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Conservative management can lead to successful retention of the uterus and potential for future pregnancies, but may involve complications.
Clinical Best Practices
Counsel patients on the risks and benefits of conservative management, including potential complications. Ensure thorough imaging and assessment prior to delivery. Implement blood conservation strategies during surgical management. Establish a follow-up care plan to monitor for complications post-treatment.
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