Objective To determine maternal outcomes for women with abnormally invasive placenta (AIP) managed using the Triple P Procedure and establish its safety as a conservative surgical management option. Methods A retrospective study of the outcomes of the first 50 patients who underwent the Triple P Procedure for AIP from September 2010 to May 2017 at St George's Maternity Unit. Maternity case notes and the database were reviewed to determine the volume of bleeding, procedure‐related complications, hysterectomy rate, and postoperative hospitalization. Results Mean operative blood loss was 2318 mL (range, 400–7300 mL and the incidence of bladder and ureteric injuries was 2% (n=1) and 0%, respectively. Median length of hospital stay was 4 days (range, 2–8 days). Three women (6.0%) developed arterial thrombosis without any long‐term complications and none of the patients required peripartum hysterectomy. Conclusion The Triple P Procedure should be considered as a conservative, less risky alternative to a peripartum hysterectomy during counselling prior to surgery for women with AIP.

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