The use of methotrexate in conservative treatment of placenta accreta spectrum disorders

Abstract

Aim of the study: This article reports on a series of patients with placenta accreta spectrum (PAS) disorder who were treated conservatively with Methotrexate (MTX) administration with or without embolization. We investigate whether there is a place for MTX in conservative treatment of PAS.

Methods: We present a single-center retrospective case series of five patients. In all patients, diagnosis was unexpected and not made prenatally.

Conclusion: The benefits should be weighed against the possible drug toxicity. Today high-quality evidence is lacking. PAS covers a broad spectrum of pathology, standardization in prenatal and postnatal diagnosis can help to compare evidence on treatment.

Keywords:

• Conservative management
• methotrexate
• outcome
• placenta accreta spectrum disorder

Disclosure statement

No potential conflict of interest was reported by the author(s).