{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:11:42Z","timestamp":1773285102129,"version":"3.50.1"},"reference-count":17,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Pregnancy"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Placenta accreta refers to any abnormally invasive placental implantation. Diagnosis is suspected postpartum with failed delivery of a retained placenta. Massive obstetrical hemorrhage is a known complication, often requiring peripartum hysterectomy. We report a case of presumed placenta accreta in a patient following failed manual removal of a retained placenta. We describe an attempt at conservative management with methotrexate in a stable patient desiring future fertility. Treatment was unsuccessful and led to the development of a disseminated intrauterine infection complicated by a bowel obstruction, requiring both a hysterectomy and small bowel resection. In hemodynamically stable patients, conservative management of placenta accreta may involve leaving placental tissue<jats:italic>in situ<\/jats:italic>with subsequent administration of methotrexate. However, ongoing close observation is required to identify complications.<\/jats:p>","DOI":"10.1155\/2010\/329618","type":"journal-article","created":{"date-parts":[[2010,9,30]],"date-time":"2010-09-30T18:36:55Z","timestamp":1285871815000},"page":"1-5","source":"Crossref","is-referenced-by-count":10,"title":["Conservative Management of Placenta Accreta in a Multiparous Woman"],"prefix":"10.1155","volume":"2010","author":[{"given":"Jennifer C.","family":"Hunt","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Manitoba, Women's Hospital, Room WS125, 735 Notre Dame Avenue, Winnipeg, MB, Canada R3E 0L8"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000207559.15715.98"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70463-0"},{"issue":"5","key":"3","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1016\/j.ajog.2004.12.074","volume":"192","year":"2005","journal-title":"American Journal of Obstetrics & Gynecology"},{"issue":"4","key":"4","first-page":"693","volume":"80","year":"1992","journal-title":"Obstetrics and Gynecology"},{"issue":"6","key":"5","first-page":"e156","volume":"49","year":"2008","journal-title":"Singapore Medical Journal"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000271133.27011.05"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000136086.78099.0f"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.07.050"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181d066d4"},{"issue":"1","key":"10","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0020-7292(02)80003-0","volume":"77","year":"2002","journal-title":"International Journal of Gynecology and Obstetrics"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181cfc007"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.03.026"},{"issue":"3","key":"13","doi-asserted-by":"crossref","first-page":"285","DOI":"10.3109\/00016348609155187","volume":"65","year":"1986","journal-title":"Acta Obstetricia et Gynecologica Scandinavica"},{"issue":"2","key":"14","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1542\/peds.39.2.248","volume":"39","year":"1967","journal-title":"Pediatrics"},{"issue":"2-3","key":"15","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1111\/j.1574-695X.1993.tb00306.x","volume":"6","year":"1993","journal-title":"FEMS Immunology and Medical Microbiology"},{"issue":"2","key":"16","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1111\/j.1447-0756.2000.tb01288.x","volume":"26","year":"2000","journal-title":"Journal of Obstetrics and Gynaecology Research"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1997.09020131.x"}],"container-title":["Journal of Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2010\/329618.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2010\/329618.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2010\/329618.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T21:31:46Z","timestamp":1711834306000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/jp\/2010\/329618\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":17,"alternative-id":["329618","329618"],"URL":"https:\/\/doi.org\/10.1155\/2010\/329618","relation":{},"ISSN":["2090-2727","2090-2735"],"issn-type":[{"value":"2090-2727","type":"print"},{"value":"2090-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010]]}}}