**Question:** Treatment of choice in placenta accreta:

A. Medical management
B. Conservative management
C. Hysterectomy
D. Ligation of uterine arteries

**Core Concept:** Placenta accreta is a type of placenta previa, where the placenta invades the myometrium of the uterus, leading to potential life-threatening hemorrhage during delivery.

**Why the Correct Answer is Right:**

The correct answer is C. Hysterectomy, as placenta accreta poses significant risk of uncontrollable hemorrhage, which can lead to maternal mortality. Conservative management options like medical management (e.g., uterine artery ligation) are not sufficient to control bleeding and may worsen the condition.

**Why Each Wrong Option is Incorrect:**

A. Medical management (e.g., uterine artery ligation) is not effective in controlling severe hemorrhage and may worsen the condition.
B. Conservative management options aim to preserve the uterus, but in placenta accreta, hemorrhage cannot be controlled through these methods.
D. Ligation of uterine arteries reduces blood flow to the uterus, which may worsen the condition.

**Clinical Pearl:**

In placenta accreta, the primary goal of treatment is to control life-threatening hemorrhage. Hysterectomy represents the definitive treatment to preserve maternal life while addressing the underlying pathology. Medical and conservative management options are inadequate in controlling severe hemorrhage and may exacerbate the condition.