This paper describes 4 cases of recurring placenta accreta in 3 women following conservative management of the condition in the previous pregnancy (the index pregnancy) (Table 1). The placentas were characterized by their Location in the uterus, which was the same as in the index pregnancy, and by their extension. Patient 1 had 2 recurrences. The first was uncomplicated, but in the second the accreta area extended to the entire placenta. The patient again chose conservative treatment. Accordingly, delivery was by cesarean , with a vertical fundic incision preserving the placental bed. The placenta was left in place. After 1 month, the patient was admitted with a hemorrhage and fever. On digital examination the cervix was dilated 7 to 8 cm and the placenta, still tightly attached to the myometrium, was partially expelled into the vaginal cavity. It was removed vaginally under general anesthesia and antibiotics were prescribed. The aftermath was uneventful but resorption of placental remnants took 1X months.
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