Color flow mapping for myometrial invasion in women with a prior cesarean delivery

Twickler, Diane M.; Lucas, Michael J.; Balis, Amy Brown; Santos‐Ramos, Rigoberto; Martin, Lisa B.E.; Malone, Shirley; Rogers, Beverly Barton

doi:10.1002/1520-6661(200011/12)9:6<330::aid-mfm1002>3.0.co;2-o

Cited by 123 publications

(103 citation statements)

References 14 publications

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“…[16][17][18][19][20][21] While the characteristics of patients with abnormally invasive placenta in RSUP General Hospital of Dr. Hasan Sadikin in the past year is 70% has a history of cesarean section once and the remaining 30% with a history of cesarean section twice. In this study, the best total score of placenta accreta index score was 3.125 with 70% sensitivity, 81.8% specificity, this explains that the ability of total score of placenta accreta index ≥3.125 to detect placenta invasive occurrence by 70% while ability total score of the placenta accreta index <3.125 to detect a non-invasive placenta occurrence of 81.8%.…”

Section: -15mentioning

confidence: 95%

Diagnostic tests of placenta accreta index score (PAIS) as supporting prenatal diagnosis and outcomes of maternal neonatal in abnormally invasive placenta management at general hospital of Hasan Sadikin Bandung

Samosir¹,

Irianti²,

Tjahyadi³

2017

Int J Reprod Contracept Obstet Gynecol

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Background: The incidence of abnormally invasive placenta increases tenfold as the number of caesarian section increases in the past 50 years. Placenta previa accreta is strongly associated with massive bleeding and leads to maternal death. Prenatal diagnosis helps in planning the delivery to reduce the risk of bleeding and possible complications. This study aims to find out diagnostic value of Placenta Accreta Index Score (PAIS) as supporting tool in prenatal diagnostic of abnormally invasive placenta. Methods: The diagnostic test was undertaken in May 2017 at General Hospital of Hasan Sadikin, identifying patients with placenta previa with history of caesarian section between May 2016-May 2017. PAIS were obtained and compared with histopathological findings. Results: Among 21 placenta previa patients with post caesarian section, 10 (47.6%) of them histopathologically proven as abnormally invasive placenta. With statistical analysis accuracy values obtained PAIS and histopathological findings in patient with placenta previa is 0.762 (good). Diagnostic value of PAIS with histopathological findings in placenta previa patient had a sensitivity 70%, a specificity 81,8%, positive predictive value (PPV) 77.8%, and negative predictive value (NPV) 75% by PAIS cut off point is 3.125. No maternal death. Mean duration of postoperative care was 5 days. Average total bleeding during surgery is 2622 ml with lowest postoperative hemoglobin 8.36g/dl. All babies born with appropriate to gestational birth weight with average first minute APGAR was 7 and without fetal anemia. Conclusions: PAIS can be used to help to predict the risk of abnormally.

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Section: -15mentioning

confidence: 95%

Diagnostic tests of placenta accreta index score (PAIS) as supporting prenatal diagnosis and outcomes of maternal neonatal in abnormally invasive placenta management at general hospital of Hasan Sadikin Bandung

Samosir¹,

Irianti²,

Tjahyadi³

2017

Int J Reprod Contracept Obstet Gynecol

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“…La ausencia del espacio claro retroplacentario tiene baja sensibilidad (7 %), ya que puede estar ausente en embarazos normales (13). La pérdida de la visualización del miometrio se presenta como un engrosamiento menor de 1 mm (18). El adelgazamiento o la interrupción de la interfase hiperecogénica de la serosa con la vejiga presenta una baja sensibilidad (18 %), pero una especificidad del 100 % (19).…”

Section: Resultsunclassified

Diagnóstico prenatal de acretismo placentario: hallazgos y utilidad del ultrasonido y la resonancia magnética. Reporte de casos en el Hospital Universitario de la Fundación Santa Fe de Bogotá (Colombia)

Wilches-Llanos¹,

Palazuelos-Jiménez²,

Trujillo-Calderón³

et al. 2014

Rev. Colomb. Obstet. Ginecol.

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Objetivo: describir y revisar los hallazgos relevantes en imágenes diagnósticas del abordaje prenatal de pacientes con diagnóstico de acretismo placentario. Materiales y métodos: presentamos los casos de tres mujeres que fueron atendidas en un centro hospitalario de alta complejidad, con factores de riesgo para acretismo placentario y evaluación prenatal por ultrasoni do (US) y resonancia magnética (RM), cuyo diagnóstico fue corroborado con estudio anatomopatológico. Se describen los aspectos clínicos, los hallazgos por imágenes y su correlación histológica. Se realizó una búsqueda de la literatura a través de PubMed, Lilacs y EBSCO, se incluyeron artículos originales, revisiones de tema y reportes de casos sobre la utilidad y los aspectos más importantes del US y la RM en el diagnóstico prenatal de acretismo placentario. Resultados: se incluyeron 11 artículos originales, 8 de revisión y 1 reporte caso. La placenta previa asociada a lagunas placentarias en ultrasonido y en RM a bandas hipointensas placentarias y el abombamiento del útero son considerados como los principales signos de acretismo. El US asociado a Doppler color tiene una sensibilidad de 97 % y una especificidad del 92 %. La RM puede definir el compromiso uterino y de los órganos vecinos, con una sensibilidad que varía entre el 77 y el 89,6 %, la especificidad es cercana al 92 %. Conclusiones: el abordaje prenatal precoz a través de las imágenes diagnósticas no invasivas brinda

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“…Bir çalışmada önceden sezaryan ile doğum yapmış hastanın plasentalmyometriyalinvazyonu öngörmek için yapılan renkli Dopplerultrsanografisinde, myometriyumun kalınlığının 1 mm'den kısa olması veya büyük intraplasental göllerin varlığının myometriyalinvazyonu öngörme açısından %100 sensitivite, %72 spesifite, %72 pozitif prediktif değer ve %100 negatif prediktif değere sahip olduğu tespit edilmiş-tir. 14 Ultrason bulguları kesin olmadığında MR (manyetik rezonans) görüntüleme faydalı olabilir. Özellikle de mesanenin görüntüsünden yararlanılamayan posterior yerleşimli plasenta akretayı tespit etmede plasental-myometriyal birleşim yerinin değerlendirilmesinde ve myometriyal, parametriyal ve mesane invazyonunun boyutunu tespit etmede faydalıdır.…”

Section: Discussionunclassified

Monitoring and Prognosis of Pregnant Women Diagnosed with Placenta Previa

Giray¹,

Karsidag²,

Büyükbayrak³

et al. 2016

Sakarya Med J

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Amaç Plasenta previa tanısı alan gebelerin takipleri ve prognozlarını değerlendirmek. Sonuç Antenatal komplikasyonlar, maternal kanama, erken doğum ve erken doğuma bağlı sorunlar plasenta previa olan hastalarda morbidite ve mortalitenin en önemli sebebidir. Tanının önceden bilinmesi operasyonun doğum eylemi başlamadan elektif şartlarda ve tecrübeli bir ekip tarafından donanımlı merkezlerde yapılmasını sağlar; bu durum da komplikasyon gelişme olasılığını azaltır. Gereç ve Yöntem Material and MethodThe results of 36 pregnant women diagnosed with placenta previa during pregnancy were evaluated retrospectively in between January 2013 -January 2016.. ResultsThe mean age of the patients with placenta previa was found as 33. 41±3.89 (22-41

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Color flow mapping for myometrial invasion in women with a prior cesarean delivery

Cited by 123 publications

References 14 publications

Diagnostic tests of placenta accreta index score (PAIS) as supporting prenatal diagnosis and outcomes of maternal neonatal in abnormally invasive placenta management at general hospital of Hasan Sadikin Bandung

Diagnostic tests of placenta accreta index score (PAIS) as supporting prenatal diagnosis and outcomes of maternal neonatal in abnormally invasive placenta management at general hospital of Hasan Sadikin Bandung

Diagnóstico prenatal de acretismo placentario: hallazgos y utilidad del ultrasonido y la resonancia magnética. Reporte de casos en el Hospital Universitario de la Fundación Santa Fe de Bogotá (Colombia)

Monitoring and Prognosis of Pregnant Women Diagnosed with Placenta Previa

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