scholarly journals EP15.02: Prenatal diagnosis of abnormally invasive placenta

2017 ◽  
Vol 50 ◽  
pp. 327-327
Author(s):  
M. Tsankova ◽  
S. Slavov ◽  
P. Markov ◽  
A. Nikolov ◽  
B. Marinov ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals Prenatal diagnosis of abnormally invasive placenta reduces maternal peripartum hemorrhage and morbidity

2013 ◽  
Vol 92 (4) ◽  
pp. 439-444 ◽  
Author(s):  
Frédéric Chantraine ◽  
Thorsten Braun ◽  
Markus Gonser ◽  
Wolfgang Henrich ◽  
Boris Tutschek
Keyword(s):  
Prenatal Diagnosis ◽  
Peripartum Hemorrhage ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals The role of prenatal diagnosis of abnormally invasive placenta in pregnancy outcome

2020 ◽  
Vol 14 (3) ◽  
pp. 384-394
Author(s):  
J. Yu. Ungiadze ◽  
I. V. Nikuradze ◽  
N. D. Zamtaradze
Keyword(s):  
Prenatal Diagnosis ◽  
Cesarean Section ◽  
Past History ◽  
Placenta Previa ◽  
Placenta Praevia ◽  
Artery Ligation ◽  
Total Blood ◽  
Invasive Placenta ◽  
Placental Invasion ◽  
Abnormally Invasive Placenta

Aim: to demonstrate the role and importance of prenatal diagnosis of abnormally invasive placenta.Materials and methods. Retrospective analysis of 3 clinical cases of the delivery in Health Center Medina. All women were diagnosed with the complete placenta praevia and invasion of chorion in the myometrium, the last was confirmed by the results of histological examination. Anamnesis data, extragenital pathology and results of examination during pregnancy were analyzed. In the prenatal period the diagnosis was confirmed by the results of ultrasound examination and MRI in two women.Results. All women were diagnosed with the different degree of placenta praevia, 2 women had a cesarean section in the past history. All patients had unifetal pregnancy without complications and no extragenital pathology was noted. 2 women were diagnosed with the placenta praevia using ultrasound scan and MRI, were estimated the degree and topography of placental invasion. Both women had planned caesarean section. During operation was performed autohemotransfusion using a Cell Saver system. In one of the cases urgent c-section was performed due to the massive bleeding, presence of placental invasion was diagnosed intraoperatively. Hysterectomy was performed in all 3 cases, total blood loss was 950–1450 ml in patients with the prenatally diagnosed invasive placentation. Iliac artery ligation was performed to the third patient, due to excessive bleeding and development of coagulopathy, 1200 ml of fresh frozen plasma has been transfused for correction of coagulopathy, as well as transfusion of donor erythrocyte mass.Conclusion. Probably the development of placental invasion abnormalities along with other factors is mostly affected by presence of placenta previa and cesarean section in the patient’s past history. Prenatal assessment of presence and degree of the abnormal placental invasion is important factor for planning of delivery: gestational age, method and the hospital level.

scholarly journals Diagnostic accuracy of cystoscopy and ultrasonography in the prenatal diagnosis of abnormally invasive placenta

Medicine ◽  
2018 ◽  
Vol 97 (15) ◽  
pp. e0438 ◽  
Author(s):  
Yan Liu ◽  
Dazhi Fan ◽  
Yao Fu ◽  
Shuzhen Wu ◽  
Wen Wang ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Diagnostic Accuracy ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals 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

2017 ◽  
Vol 6 (9) ◽  
pp. 3765
Author(s):  
Sefty Mariany Samosir ◽  
Setyorini Irianti ◽  
Dian Tjahyadi
Keyword(s):  
Prenatal Diagnosis ◽  
General Hospital ◽  
Maternal Death ◽  
Predictive Value ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Diagnostic Value ◽  
Caesarian Section ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

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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