When is hysterectomy recommended for placenta accreta?

Placenta accreta spectrum means the placenta grows too deeply into the uterine wall and may not separate normally after birth. Pulling on an attached placenta can trigger major bleeding. In a planned operation, the baby is delivered and the uterus is removed with the placenta left undisturbed. This ends the pregnancy and means future pregnancy is not possible.

Care is arranged with an experienced maternity team, including obstetric, anaesthetic, surgical, blood-bank, and newborn staff. Ask where the birth will occur, when the operation is planned, which organs may be at risk if the placenta has grown nearby, and how blood loss will be managed. Read more about [Hysterectomy](/treatments/gynaecological-surgery/hysterectomy/) and tell the team about previous caesarean births or uterine surgery.

During pregnancy, seek urgent maternity assessment for vaginal bleeding, contractions, abdominal pain, leaking fluid, reduced fetal movement, or feeling faint. Do not wait for a scheduled appointment if bleeding is heavy or symptoms are rapidly worsening. Keep your maternity unit's emergency contact details accessible.

Ask where the placenta is located, whether nearby organs appear involved, why planned hysterectomy is advised, and what could change the plan. Discuss the birth route, anaesthesia, possible bladder or bowel surgery, transfusion planning, recovery, and emotional support after delivery.