Journal ArticleDOI
Antenatal diagnosis of placenta accreta leads to reduced blood loss
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TLDR
Antenatal diagnosis of placenta accreta may reduce peripartum blood loss and the need for blood transfusion and women with antenatal diagnosis more often haveplacenta previa and history of previous cesarean section, and the clinical diagnosis is more often placente percreta.Abstract:
Objective. Placenta accreta is one of the most devastating pregnancy complications. We sought to compare outcomes between women with placenta accreta when diagnosed antenatally or intrapartum, and to define predictors of the antenatal diagnosis. Design. Retrospective case–control study. Setting. University teaching hospital. Population. Twenty-four women with placenta accreta diagnosed antenatally and 20 women discovered intrapartum. Methods. Chart review of historical and delivery-associated variables. Rates were compared between the groups. Main Outcome Measures. Placenta accreta diagnosed antenatally or intrapartum. Results. Women with antenatal diagnosis had a lower estimated blood loss of a median of 4500ml (range 100–15000ml) compared with 7800ml (range 2500–17000ml, p=0.012) and required fewer units of packed red blood cells transfused (median 7; range 0–27 compared with 13.5; range 4–31, p=0.026). Nineteen (79%) women diagnosed antenatally had balloon catheter occlusion carried out during the cesarean section. Five (21%) had the entire placenta left in situ. There was no difference in the rate of surgical complications or duration of hospitalization. The clinical diagnosis among women with antenatal diagnosis was more often placenta percreta (p=0.013). The risk factor profile of women with antenatal diagnosis of placenta accreta included higher gravidity (p=0.014) and parity (p<0.0001), history of cesarean section (p=0.004), and placenta previa in the current pregnancy (p<0.001). Conclusions. Antenatal diagnosis of placenta accreta may reduce peripartum blood loss and the need for blood transfusion. Women with antenatal diagnosis more often have placenta previa and history of previous cesarean section, and the clinical diagnosis is more often placenta percreta.read more
Citations
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Journal ArticleDOI
Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green-top Guideline No. 27a.
Erm Jauniaux,Zarko Alfirevic,Amar Bhide,Michael A. Belfort,Graham J. Burton,Sally Collins,S Dornan,Davor Jurkovic,Gilles Kayem,John Kingdom,Robert M. Silver,Loïc Sentilhes,Gynaecologists +12 more
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Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis.
TL;DR: An objective of this study was to conduct a systematic review and meta‐analysis to assess the performance of ultrasound in at‐risk women for prenatal identification of invasive placentation.
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Abnormally invasive placenta-prevalence, risk factors and antenatal suspicion: results from a large population-based pregnancy cohort study in the Nordic countries.
Lars Thurn,Pelle G. Lindqvist,Martin Jakobsson,Lotte Berdiin Colmorn,Kari Klungsøyr,Ragnheiður I. Bjarnadóttir,Anna-Maija Tapper,Per E. Børdahl,Karin Gottvall,Kathrine Birch Petersen,Lone Krebs,Mika Gissler,Jens Langhoff-Roos,Karin Källén,Karin Källén +14 more
TL;DR: The objective was to investigate prevalence, estimate risk factors, and antenatal suspicion of abnormally invasive placenta (AIP) associated with laparotomy in women in the Nordic countries.
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Prenatal identification of invasive placentation using magnetic resonance imaging: systematic review and meta-analysis.
Francesco D'Antonio,C. Iacovella,José M. Palacios-Jaraquemada,C. H. Bruno,Lamberto Manzoli,Amar Bhide +5 more
TL;DR: To assess systematically the performance of prenatal magnetic resonance imaging in diagnosing the presence, degree and topography of disorders of invasive placentation and to explore the role of the different MRI signs in predicting these disorders.
Journal ArticleDOI
Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta.
TL;DR: To evaluate the diagnostic accuracy of two‐dimensional (2D) gray‐scale and color Doppler and three-dimensional (3D) power doppler sonographic criteria for morbidly adherent placenta (MAP), and to identify criteria to help distinguish placentA accreta from Placenta percreta.
References
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Journal ArticleDOI
Abnormal placentation: twenty-year analysis.
TL;DR: The most important risk factors for placenta accreta were previous cesarean delivery, previa, and advanced maternal age as mentioned in this paper, which increased the rate of abnormal placentation in conjunction with CESarean deliveries.
Journal Article
Placenta previa/accreta and prior cesarean section.
TL;DR: To assess the relationship between increasing numbers of previous cesarean sections and the subsequent development of placenta previa andplacenta accreta, the records of all patients presenting to labor and delivery with the diagnosis of Placenta Previa between 1977 and 1983 were examined.
Journal ArticleDOI
Optimal management strategies for placenta accreta.
TL;DR: To determine which interventions for managing placenta accreta were associated with reduced maternal morbidity, a large number of patients were randomly assigned to receive either a vaginal or laparoscopic Caesarean section.
Journal ArticleDOI
Accuracy of ultrasonography and magnetic resonance imaging in the diagnosis of placenta accreta
Carri R. Warshak,Ramez N. Eskander,Andrew D. Hull,Angela L. Scioscia,Robert F. Mattrey,Kurt Benirschke,Robert Resnik +6 more
TL;DR: A two-stage protocol for evaluating women at high risk for placenta accreta, which uses ultrasonography first, and then MRI for cases with inconclusive ultrasound features, will optimize diagnostic accuracy.
Journal ArticleDOI
Maternal outcome after conservative treatment of placenta accreta.
Loïc Sentilhes,Clémence Ambroselli,Gilles Kayem,M. Provansal,Hervé Fernandez,Franck Perrotin,Norbert Winer,Fabrice Pierre,Alexandra Benachi,Michel Dreyfus,Estelle Bauville,Dominique Mahieu-Caputo,Loïc Marpeau,Philippe Descamps,François Goffinet,Florence Bretelle +15 more
TL;DR: Conservative treatment for placenta accreta can help women avoid hysterectomy and involves a low rate of severe maternal morbidity in centers with adequate equipment and resources.
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