PLACENTA ACCRETA: REPORT OF FIVE CASES AND A PLAN OF MANAGEMENT.

Five cases of placenta accreta are reviewed. The diagnosis was made on clinical grounds by intrauterine examination. Two of the five patients were managed conservatively, thus preserving the uterus. The conservative approach entails leaving the pathologically involved portion of accreta placenta in situ. The only indications for hysterectomy are hemorrhage and infection. Conservative management is justified by the successful outcome and lack of puerperal morbidity noted in this study and reported by others.