We thank Dr Meller and colleagues for their interest in our recent article regarding risk for early delivery in patients with suspected placenta accreta, in which we found that history of antenatal vaginal bleeding, preterm premature rupture of membranes, and/or contractions were associated with an increased risk for unscheduled delivery. Perhaps just as clinically significant, we found that none of the 26 patients in our cohort without these symptoms required emergent delivery prior to 36 weeks. We appreciate the data presented by Dr Meller and colleagues representing their similar experience, and we would be interested to see if any of the 26 patients in their cohort who required an unscheduled delivery lacked prior symptoms.