What are the treatment options for placenta accreta?

With placenta accreta, the placenta grows too firmly into the wall of the womb and may not separate normally after birth. A specialist maternity and surgical team plans the timing, operating team, blood support and newborn care in advance. The placenta is generally not pulled away when this could cause heavy bleeding. In selected situations, a team may discuss leaving the placenta in place, but this requires close specialist follow-up and is not suitable for everyone.

A Caesarean Section is used to deliver the baby before the placenta is managed. A planned Hysterectomy may then remove the womb with the placenta still attached. The operation can involve a larger surgical team, and recovery includes monitoring for bleeding, infection, pain and bladder or bowel injury. Ask where the birth will take place and which specialists will be present. Your team can also explain future fertility implications and alternatives if an individualised conservative approach is being considered.

Contact your maternity unit urgently for vaginal bleeding, painful contractions, severe abdominal pain, dizziness, fainting or reduced baby movements. Call emergency services for heavy bleeding, collapse or breathing difficulty. Do not wait for a routine appointment if bleeding occurs, even if it stops.

Ask how the placental attachment was assessed, when delivery is recommended, whether a Hysterectomy is planned, what complications the team is preparing for, how blood support will be arranged, and what recovery and follow-up will involve.