Accuracy of Ultrasound for the Prediction of Placenta Accreta

Bowman, Zachary S.; Eller, A.G.; Kennedy, Anne; Richards, Douglas; Winter, Tom; Woodward, Paula J.; Silver, R.M.

doi:10.1097/01.aoa.0000469480.03342.10

Cited by 23 publications

(34 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most common type of complications are adhesive placental disorders, especially placenta percreta. The sensitivity of ultrasound reached 90% to predict adhesive placental disorders, but there is still lack of evidence to predict the hemorrhage volume [11]. In addition, surgical complications significantly contribute to higher incidence of morbidity to baseline morbidity of placenta previa.…”

Section: Discussionmentioning

confidence: 99%

The association between placenta previa and leukocyte and platelet indices — a case control study

Ersoy

Özler²,

Öztaş³

et al. 2016

Ginekol Pol

View full text Add to dashboard Cite

Objectives: Despite medical advances, rising awareness, and satisfactory care facilities, placenta previa (PP) remains a challenging clinical entity due to the risk of excessive obstetric hemorrhage. Etiological concerns gave way to life-saving concerns about the prediction of maternal outcomes due to hemorrhage. Our study aimed to detect an early predictive marker of placenta previa. Material and methods:Ninety-three pregnant patients diagnosed with PP and 247 controls were recruited for this retrospective study. Platelet and leukocyte indices were compared between the two groups. Results:The groups were similar with regard to age distribution (31.2 ± 5.1 years [mean ± SD] in the PP group and 31.7 ± 4.2 years in controls), body mass index (BMI) (27.7 ± 3.6 kg/m 2 in the PP group and 27.4 ± 4.6 kg/m 2 in controls), and most characteristics of the obstetric history. Total leukocyte count, neutrophil count, and neutrophil-to-lymphocyte ratio were significantly higher in the PP group. Mean platelet volume (MPV) and large platelet cell ratio (P-LCR) values were significantly lower in the PP group as compared to controls, with regard to third trimester values. However, patients who were diagnosed postnatally with placenta percreta had lower MPV and P-LCR values than other patients with PP. There were no statistically significant differences between the two groups as far as first trimester values were concerned. Conclusions:Platelet and leukocyte indices in the third trimester of pregnancy may be valuable predictors of placenta previa and placenta percreta. More comprehensive studies are needed to address this issue.

show abstract

Section: Discussionmentioning

confidence: 99%

The association between placenta previa and leukocyte and platelet indices — a case control study

Ersoy

Özler²,

Öztaş³

et al. 2016

Ginekol Pol

View full text Add to dashboard Cite

show abstract

“…Another study concluded that ultrasound for the prediction of placenta accreta may not be as accurate as previously described, with reported sensitivity, specificity, positive predictive value, negative predictive value and accuracy of 53.5 %, 88.0 %, 82.1 %, 64.8 % and 64.8 %, respectively [53].…”

Section: Ultrasonography In the Diagnosis Of Abnormal Placentationmentioning

confidence: 86%

Peripartum Hysterectomy

Amarin¹

2015

Approaches to Hysterectomy

View full text Add to dashboard Cite

show abstract

“…Bowman et al [20] raised contrary result when published a low sensitivity of ultrasound for placenta accreta [20]. In addition ultrasound found to have significant interobserver variability for the diagnosis of placenta accreta [17].…”

Section: Discussionmentioning

confidence: 99%

“…The Se, Sp, PPV, NPV, and accuracy were respectively 53.5%, 88.0%, 82.1%, 64.8%, and 64.8%. Loss of retroplacental clear space (OR, 2.4; 95% CI, 1.1-4.9), placental lacuna (OR, 1.5; 95% CI, 1.-1.6), and abnormalities on color Doppler (OR, 2.1; 95% CI, 1.8-2.4) were correlated significantly with placenta accreta (OR, 2.4; 95% CI,1.1-4.9) in their multivariate analysis [17]. On our appraisal analysis, study conducted by Chalbunsiki et al [14] had the highest appraisal score (8/8).…”

Section: )mentioning

confidence: 94%