OBJECTIVE: Produce recommendations for the management of @entity5030 and placenta accrete. METHODS: A literature search was conducted using Medline and the Cochrane Library over a period from 1950 to 31/12/2013. Recommendations of the latest scientific societies have also been consulted. RESULTS: In cases of @entity5030 , if @entity548 episode before 34weeks gestation occurs, a short hospitalization and tocolysis may help stop @entity548 (grade C). Vaginal delivery is preferable when the distance between the internal cervical os and the placental edge is greater than 20mm. When this distance is less than 20mm, vaginal delivery is possible (professional consensus). Caesarean section is recommended in cases of placenta overlapping the internal os (professional consensus). Antenatal screening @entity8052 could improve care ( @entity8676 ). Upon discovery of a @entity8052 during childbirth, it is better to avoid a forced removal of the placenta (grade C). Conservative treatment or cesarean hysterectomy are possible (grade C). The management of @entity5028 should be planned and managed with a multidisciplinary team (professional consensus). The use of blood-saving techniques such as "cell saver" is possible in situations where early @entity954 would be>1500mL (grade C). There are no studies that have sufficient methodological value to recommend an anesthetic technique [general anaesthesia (GA) or neuraxial anaesthesia] over another in the context of @entity5028 (grade B). When a major @entity548 risk is identified, GA can be chosen in order to avoid emergency conversions in difficult conditions (professional consensus). CONCLUSION: Placental insertion abnormalities require anesthetic and obstetric coordination. Delivery must be planned in a suitable structure.

[Management of XXXX and accreta.]

@entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity5028 :: ('MESH:D010922', 'Disease') :: ['placental abnormalities'] @entity5030 :: ('MESH:D010923', 'Disease') :: ['placenta previa'] @entity8676 :: ('6710', 'Gene') :: ['EL3'] @entity8052 :: ('MESH:D010921', 'Disease') :: ['placenta accreta'] @entity954 :: ('MESH:D016063', 'Disease') :: ['intraoperative bleeding']
@entity5030 :: (MESH:D010923,Disease) :: ['placenta previa']
