The role of gravid hysterectomy in managing placenta accreta spectrum between 14 0/7 and 26 6/7 weeks: Who, where, when, and how?

Gravid hysterectomy is a management option for providing abortion care in the setting of placenta accreta spectrum. However, performing a gravid hysterectomy requires significant multidisciplinary coordination to ensure a safe outcome for the pregnant individual. In this Narrative Review, we review the limited data surrounding gravid hysterectomy, perioperative considerations for conducting a gravid hysterectomy, a case of perioperative outcomes for a patient who underwent a gravid hysterectomy, and recommendations for future directions in research and clinical innovations in the management of placenta accreta spectrum and procedural abortion care.