Systematic review and meta‐analysis of posterior placenta accreta spectrum disorders: risk factors, histopathology and diagnostic accuracy

2020 ◽  
Author(s):  
S. Tinari ◽  
D. Buca ◽  
G. Cali ◽  
I. Timor‐Tritsch ◽  
J. Palacios‐Jaraquemada ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Placenta Accreta ◽  
Meta Analysis ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders

Sonographic Association of Placenta Accreta Spectrum In Patients of Placenta Previa - A Systematic Review

2021 ◽  
Vol 15 (10) ◽  
pp. 2704-2707
Author(s):  
Maida Saadat ◽  
Muhammad Nawaz Anjum ◽  
Faiza Farooq ◽  
Rehan Aslam Gill ◽  
Abeer Yasin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Meta Analysis ◽  
Retrospective Case ◽  
Standard Methods ◽  
Placenta Accreta Spectrum ◽  
Obstetric Population ◽  
High Level

Aim: To determine the diagnostic accuracy and epidemiology of placenta accreta spectrum (PAS) in patients of placenta previa. Design: Systematic review. Methods: PubMed, Google Scholar, ClinicalTrials.gov and MEDLINE were searched between January1992 and December 2020. Studies on placenta previa complicated by PAS diagnosed in a defined obstetric population. This research was carried out using standard methods and protocols and keeping in view Newcastle-Ottawa scale for observation and assessment of case study along with the difference approved by consensus. The overall diagnostic accuracy of ultrasonographic findings is the main outcome of this study, whereas the prevalence of placenta accreta in patients of placenta previa and its incidence among different countries all over the world is also described. Results: In this review study, about 300 articles were evaluated. More over about 15 prospective and 14 retrospective case studies incorporated for assessment having complication with placenta previa and PAS. According to the meta-analysis, a significant (p<0.001) heterogeneity was found between case research that evaluate PAS prevalence and incidence in the placenta previa cohort. The median prevalence in case of placenta previa along with PAS came out to be 0.113% (IQR 0.048–0.17).Whereas incidence in females having placenta previa along with complication of PAS came out to be 11.3% (IQR 7.3–20.0). The overall median sensitivity of the ultrasound to find cases of placenta accreta spectrum in patients of placenta previa is 83.33 %( IQR 77.0-94.34) and specificity is 95.9 %( IQR 88.0-98.4). Conclusions: The high level of diversity observed in results obtained by diagnostic and qualitative data showed strong emphasis should be made on implementation of standard methods and protocols for assessment and diagnosis of pregnancy complication like placenta previa, its type and PAS. However, transvaginal and transabdominal ultrasound remains the gold standard diagnostic tool for placenta previa and placenta accreta spectrum. Keywords: Placenta accrete, placenta previa, sonography

scholarly journals Prevalence and main outcomes of placenta accreta spectrum: a systematic review and meta-analysis

2019 ◽  
Vol 221 (3) ◽  
pp. 208-218 ◽  
Author(s):  
Eric Jauniaux ◽  
Catey Bunce ◽  
Lene Grønbeck ◽  
Jens Langhoff-Roos
Keyword(s):  
Systematic Review ◽  
Placenta Accreta ◽  
Meta Analysis ◽  
Placenta Accreta Spectrum

Sonographic Association Of Placenta Accreta Spectrum In Patients Of Placenta Previa-A Systematic Review

2021 ◽  
Vol 15 (11) ◽  
pp. 3050-3053
Author(s):  
Maida Saadat ◽  
Muhammad Mawaz Anjum ◽  
Faiza Farooq ◽  
Rehan Aslam Gill ◽  
Abeer Yasin ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Meta Analysis ◽  
Retrospective Case ◽  
Standard Methods ◽  
Placenta Accreta Spectrum ◽  
The Difference ◽  
Obstetric Population ◽  
High Level

Aim: To determine the diagnostic accuracy and epidemiology of placenta accreta spectrum (PAS) in patients of placenta previa. Methods: PubMed, Google Scholar, ClinicalTrials.gov and MEDLINE were searched between January1992 and December 2020. Studies on placenta previa complicated by PAS diagnosed in a defined obstetric population. This research was carried out using standard methods and protocols and keeping in view Newcastle-Ottawa scale for observation and assessment of case study along with the difference approved by consensus. The overall diagnostic accuracy of ultrasonographic findings is the main outcome of this study, whereas the prevalence of placenta accreta in patients of placenta previa and its incidence among different countries all over the world is also described. Results: In this review study, about 300 articles were evaluated. More over about 15 prospective and 14 retrospective case studies incorporated for assessment having complication with placenta previa and PAS. According to the meta-analysis, a significant (p<0.001) heterogeneity was found between case research that evaluate PAS prevalence and incidence in the placenta previa cohort. The median prevalence in case of placenta previa along with PAS came out to be 0.113% (IQR 0.048–0.17).Whereas incidence in females having placenta previa along with complication of PAS came out to be 11.3%. Conclusions: The high level of diversity observed in results obtained by diagnostic and qualitative data showed strong emphasis should be made on implementation of standard methods and protocols for assessment and diagnosis of pregnancy complication like placenta previa, its type and PAS. Keywords: Sonography placenta previa, placenta accreta spectrum

scholarly journals Placenta Accreta Spectrum Disorder in a Patient with Six Previous Caesarean Deliveries: Step by Step Management

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Calagna Gloria ◽  
Polito Salvatore ◽  
Labate Francesco ◽  
Guiglia Rosa Anna ◽  
De Maria Francesca ◽  
...  
Keyword(s):  
Risk Factors ◽  
Scientific Community ◽  
Caesarean Delivery ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
International Federation ◽  
Difficult Case ◽  
Referral Center ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders

The definition placenta accreta spectrum disorders (PAS) introduced by FIGO (International Federation of Gynaecology and Obstetrics) indicates an abnormal, pathological adherence or invasion of the placenta. The growing worldwide incidence of this pathological entity, and the possible serious correlated surgical risks, has caused a significant increase in attention among the scientific community. Previous caesarean delivery and presence of placenta previa are the main risk factors for the onset of PAS. Here, we present the intriguing case of a 39-year-old woman, at the 33rd week of gestation, with six previous caesarean sections and with a diagnosis of placenta previa accreta. At our referral center for PAS disorders, we successfully managed this difficult case with the help of a multidisciplinary skilled team.

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