Histological and histopathological study of the lower uterine segment after previous caesarean section  and placenta accreta

Abdulsalam, Reem Abdulazim Hussein; Azzam, Mohamed Ezz El Deen Ali; Helaly, Amr Mohammed Abd El Fatah El; Ahmed, Marwa Labib Badr

doi:10.14419/ijbas.v6i4.7126

Cited by 2 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Placenta Acreta Index (PAI) is a value for each sonographic parameter that is used to assess the probability of the extent to which the placenta invades the uterine wall [7]- [9]. Assessment of the PAI score in patients with placenta previa with suspicion of undergoing cesarean section can be a fairly accurate predictor of both sensitivity and specificity for the incidence of placenta accrete [10]- [12]. In addition, predicting these scores can reduce or minimize the need for additional diagnostics such as MRI, and/or excessive supply of blood or blood components.…”

Section: Pai Score As Early Detection Of Placenta Acretamentioning

confidence: 99%

Early Detection of Adhesive Placenta Previa in Cesarean Section

Winata

Meladewi

Krismawati

et al. 2022

EJMED

View full text Add to dashboard Cite

Placenta previa is a placenta that has implanted in the lower uterine segment, thus covering all or part of the internal uterine ostium. The prevalence of placenta previa in developed countries ranges from 0.26 to 2.00% of all pregnancies, while in Indonesia it has been reported by several researchers to range from 2.4 to 3.56% of all pregnancies. Sectio cesarean is a risk factor for placenta previa and the risk of causing placenta accreta which can increase cases of bleeding and hysterectomy. However, placenta accreta can only be established after delivery. So that early detection of placenta accreta can be used to determine the condition of the placenta during pregnancy. In cesarean section, an incision is made in the uterine wall so that it can result in atrophic changes in the decidua and reduced vascularity resulting in the placenta moving to a place with higher vascularity or sticking deeper at the implantation site. The Placenta Acreta Index is a value for each sonographic parameter that is used to assess the probability of the extent to which the placenta invades the uterine wall. The probability value of placental invasion is included with the total score. Where the total value is 0.1,2 and so on up to above 8 in a row with an invasion probability value of 5%, 10%, 19%, 33%, 51%, 69%, 83%, 91% and 96%. Placenta accreta in former cesarean section can be confirmed by the placenta accreta index score.

show abstract

Section: Pai Score As Early Detection Of Placenta Acretamentioning

confidence: 99%

Early Detection of Adhesive Placenta Previa in Cesarean Section

Winata

Meladewi

Krismawati

et al. 2022

EJMED

View full text Add to dashboard Cite

show abstract

“…3,5,12,13 Penilaian Skor Indeks Plasenta Akreta (IPA) pada pasien dengan plasenta previa kecurigaan akreta yang akan menjalani tindakan seksio sesaria dapat menjadi prediktor yang cukup akurat baik sensitivitas maupun spesifisitasnya terhadap kejadian suatu plasenta akreta. [14][15][16][17] Hal ini tentunya dapat berpengaruh terhadap persiapan perioperatif yang akan dilakukan terhadap pasien, baik dari segi pilihan tindakan bedah, tindakan anestesi maupun persiapan keseluruhan penunjang operasi yang akan dilakukan. Disisi lain dengan adanya prediksi dari nilai skor tersebut, dapat mengurangi/ meminimalisir kebutuhan akan diagnostik tambahan seperti MRI, dan atau penyediaan darah/komponen darah yang berlebihan.…”

Section: Pendahuluanunclassified

Penggunaan Skor Indeks Plasenta Akreta (IPA) sebagai Prediktor Manajemen Perioperatif Seksio Sesarea Pasien dengan Plasenta Previa Totalis Suspek Akreta

Wijaya

Uyun

Rahardjo

2020

JAOI

View full text Add to dashboard Cite

Plasenta akreta adalah suatu kondisi kehamilan yang serius yang disebabkan oleh kelainan perlekatan plasenta yang membutuhkan perhatian khusus secara perioperatif. Kasus ini menggambarkan manajemen anestesi yang sesuai untuk seksio sesarea dan total abdominal histerektomi karena plasenta previa totalis dugaan akreta. Seorang wanita berusia 33 tahun dipersiapkan untuk menjalani seksio sesarea elektif dan histerektomi total akibat plasenta previa totalis dengan kecurigaan tinggi terhadap akreta berdasarkan Indeks Skor Plasenta Akreta (IPA). Pemeriksaan penunjang dilakukan oleh dokter kandungan untuk mengkonfirmasi diagnosis. Pada pasien ini dilakukan tindakan anestesi umum untuk prosedur operasinya. Kadar hemoglobin pasien sebelum operasi adalah 9,1 g / dl. Dengan total perdarahan selama operasi adalah 2000 mL. Estimasi kehilangan darah yang ditolerir untuk pasien ini adalah 633 ml. Pasien menerima transfusi 2(dua) kantong darah PRC dan 1(satu) kantong darah WB. Kadar hemoglobin setelah transfusi adalah 8,9 g / dL Pasien dipulangkan dari rumah sakit dalam kondisi stabil setelah dirawat selama 3 hari diruangan. Sebagai kesimpulan, evaluasi dan persiapan perioperatif dan kolaborasi multidisiplin adalah kunci keberhasilan manajemen pasien dengan plasenta previa suspek akreta. The Use of Placenta Acreta Index (PAI) Score as Perioperative Management Predictor of Sectio Caesarean Patient with Total Placenta Previa Suspected Acreta Placenta accreta is a serious pregnancy condition caused by disorder of placenta attachment that needs a special consideration perioperatively. This case was described the propriate anesthesia management for Cesarean Section and Total Abdominal Hysterectomy due to Total Placenta Previa suspected Accreta. A 33 years old woman considered for elective cesarean section and hysterectomy due to Total Placenta Previa with high suspicion of Accreta according to Placenta Accreta Index (PAI) Score. Supportive examination was done by the obstetrician to confirm the diagnosis. She underwent general anesthesia for the surgery. Patient’s hemoglobin level before surgery was 9.1 g/dL. With total bleeding during the surgery is 2000 mL. The allowable blood loss for the patient is 633 mL. Patient was transfused with 2 bags of PRC and 1 bag of Whole Blood. The hemoglobin level after transfusion was 8.9 g/dL She was discharged from the hospital in stable condition after being treated for 3 days at normal ward. As conclusion, perioperative evaluation and preparations and multidiscipline collaboration are the key for successful management for patient with Placenta previa/accreta

show abstract

Histological and histopathological study of the lower uterine segment after previous caesarean section and placenta accreta

Cited by 2 publications

References 18 publications

Early Detection of Adhesive Placenta Previa in Cesarean Section

Early Detection of Adhesive Placenta Previa in Cesarean Section

Penggunaan Skor Indeks Plasenta Akreta (IPA) sebagai Prediktor Manajemen Perioperatif Seksio Sesarea Pasien dengan Plasenta Previa Totalis Suspek Akreta

Contact Info

Product

Resources

About