Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa: A Multicenter Study

Davide De Vita, Giampiero Capobianco, Giovanni Gerosolima, Carmen Sciorio, Ermenegilda Coppola, Fabio Parazzini, Maurizio Silvestri, Anna Paola Caruso, Maddalena Morlando, Raffaele Petta, Alessandro Pascarella, Salvatore Dessole, Elsa Viora

Research output: Contribution to journalArticle

Abstract

Background/Aims: Abnormally invasive placenta (AIP) includes placenta accreta, increta, and percreta and represents major complications of pregnancy. This study was designed to assess the role of ultrasonography in the identification of AIP among pregnant women with antepartum diagnosis of placenta previa. Methods: A cross-sectional study was performed between May 2015 and April 2016 in 11 centers, including 242 women with antepartum diagnosis of placenta previa. Results: Ninety-eight out of 242 (40.49%) women had a histological diagnosis of placenta accreta. A higher number of caesarean deliveries (p = 0.001) and curettages (p = 0.027) and older age of the woman at the delivery (p = 0.031) were identified as risk factors for placenta accreta. The presence of irregularly shaped placental lacunae (vascular spaces) within the placenta (p = 0.008), protrusion of the placenta into the bladder (p < 0.0001), and turbulent blood flow through the lacunae on Doppler ultrasonography (p = 0.008) were predictors of placenta accreta. Conclusions: Women with a prior delivery by caesarean section have a high incidence of placenta accreta among women with antepartum diagnosis of placenta previa.

Original languageEnglish
JournalGynecologic and Obstetric Investigation
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Placenta Accreta
Placenta Previa
Multicenter Studies
Pregnant Women
Placenta
Doppler Ultrasonography
Curettage
Pregnancy Complications
Cesarean Section
Blood Vessels
Ultrasonography
Urinary Bladder
Cross-Sectional Studies
Incidence

Keywords

  • Antepartum diagnosis
  • Placenta accreta
  • Placenta previa
  • Risk factors
  • Ultrasound

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa : A Multicenter Study. / De Vita, Davide; Capobianco, Giampiero; Gerosolima, Giovanni; Sciorio, Carmen; Coppola, Ermenegilda; Parazzini, Fabio; Silvestri, Maurizio; Caruso, Anna Paola; Morlando, Maddalena; Petta, Raffaele; Pascarella, Alessandro; Dessole, Salvatore; Viora, Elsa.

In: Gynecologic and Obstetric Investigation, 01.01.2018.

Research output: Contribution to journalArticle

De Vita, D, Capobianco, G, Gerosolima, G, Sciorio, C, Coppola, E, Parazzini, F, Silvestri, M, Caruso, AP, Morlando, M, Petta, R, Pascarella, A, Dessole, S & Viora, E 2018, 'Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa: A Multicenter Study', Gynecologic and Obstetric Investigation. https://doi.org/10.1159/000494492
De Vita, Davide ; Capobianco, Giampiero ; Gerosolima, Giovanni ; Sciorio, Carmen ; Coppola, Ermenegilda ; Parazzini, Fabio ; Silvestri, Maurizio ; Caruso, Anna Paola ; Morlando, Maddalena ; Petta, Raffaele ; Pascarella, Alessandro ; Dessole, Salvatore ; Viora, Elsa. / Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa : A Multicenter Study. In: Gynecologic and Obstetric Investigation. 2018.
@article{174f4a41fb8a473d92f98d972403bd79,
title = "Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa: A Multicenter Study",
abstract = "Background/Aims: Abnormally invasive placenta (AIP) includes placenta accreta, increta, and percreta and represents major complications of pregnancy. This study was designed to assess the role of ultrasonography in the identification of AIP among pregnant women with antepartum diagnosis of placenta previa. Methods: A cross-sectional study was performed between May 2015 and April 2016 in 11 centers, including 242 women with antepartum diagnosis of placenta previa. Results: Ninety-eight out of 242 (40.49{\%}) women had a histological diagnosis of placenta accreta. A higher number of caesarean deliveries (p = 0.001) and curettages (p = 0.027) and older age of the woman at the delivery (p = 0.031) were identified as risk factors for placenta accreta. The presence of irregularly shaped placental lacunae (vascular spaces) within the placenta (p = 0.008), protrusion of the placenta into the bladder (p < 0.0001), and turbulent blood flow through the lacunae on Doppler ultrasonography (p = 0.008) were predictors of placenta accreta. Conclusions: Women with a prior delivery by caesarean section have a high incidence of placenta accreta among women with antepartum diagnosis of placenta previa.",
keywords = "Antepartum diagnosis, Placenta accreta, Placenta previa, Risk factors, Ultrasound",
author = "{De Vita}, Davide and Giampiero Capobianco and Giovanni Gerosolima and Carmen Sciorio and Ermenegilda Coppola and Fabio Parazzini and Maurizio Silvestri and Caruso, {Anna Paola} and Maddalena Morlando and Raffaele Petta and Alessandro Pascarella and Salvatore Dessole and Elsa Viora",
year = "2018",
month = "1",
day = "1",
doi = "10.1159/000494492",
language = "English",
journal = "Gynecologic and Obstetric Investigation",
issn = "0378-7346",
publisher = "S. Karger AG",

}

TY - JOUR

T1 - Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa

T2 - A Multicenter Study

AU - De Vita, Davide

AU - Capobianco, Giampiero

AU - Gerosolima, Giovanni

AU - Sciorio, Carmen

AU - Coppola, Ermenegilda

AU - Parazzini, Fabio

AU - Silvestri, Maurizio

AU - Caruso, Anna Paola

AU - Morlando, Maddalena

AU - Petta, Raffaele

AU - Pascarella, Alessandro

AU - Dessole, Salvatore

AU - Viora, Elsa

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background/Aims: Abnormally invasive placenta (AIP) includes placenta accreta, increta, and percreta and represents major complications of pregnancy. This study was designed to assess the role of ultrasonography in the identification of AIP among pregnant women with antepartum diagnosis of placenta previa. Methods: A cross-sectional study was performed between May 2015 and April 2016 in 11 centers, including 242 women with antepartum diagnosis of placenta previa. Results: Ninety-eight out of 242 (40.49%) women had a histological diagnosis of placenta accreta. A higher number of caesarean deliveries (p = 0.001) and curettages (p = 0.027) and older age of the woman at the delivery (p = 0.031) were identified as risk factors for placenta accreta. The presence of irregularly shaped placental lacunae (vascular spaces) within the placenta (p = 0.008), protrusion of the placenta into the bladder (p < 0.0001), and turbulent blood flow through the lacunae on Doppler ultrasonography (p = 0.008) were predictors of placenta accreta. Conclusions: Women with a prior delivery by caesarean section have a high incidence of placenta accreta among women with antepartum diagnosis of placenta previa.

AB - Background/Aims: Abnormally invasive placenta (AIP) includes placenta accreta, increta, and percreta and represents major complications of pregnancy. This study was designed to assess the role of ultrasonography in the identification of AIP among pregnant women with antepartum diagnosis of placenta previa. Methods: A cross-sectional study was performed between May 2015 and April 2016 in 11 centers, including 242 women with antepartum diagnosis of placenta previa. Results: Ninety-eight out of 242 (40.49%) women had a histological diagnosis of placenta accreta. A higher number of caesarean deliveries (p = 0.001) and curettages (p = 0.027) and older age of the woman at the delivery (p = 0.031) were identified as risk factors for placenta accreta. The presence of irregularly shaped placental lacunae (vascular spaces) within the placenta (p = 0.008), protrusion of the placenta into the bladder (p < 0.0001), and turbulent blood flow through the lacunae on Doppler ultrasonography (p = 0.008) were predictors of placenta accreta. Conclusions: Women with a prior delivery by caesarean section have a high incidence of placenta accreta among women with antepartum diagnosis of placenta previa.

KW - Antepartum diagnosis

KW - Placenta accreta

KW - Placenta previa

KW - Risk factors

KW - Ultrasound

UR - http://www.scopus.com/inward/record.url?scp=85056995509&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056995509&partnerID=8YFLogxK

U2 - 10.1159/000494492

DO - 10.1159/000494492

M3 - Article

AN - SCOPUS:85056995509

JO - Gynecologic and Obstetric Investigation

JF - Gynecologic and Obstetric Investigation

SN - 0378-7346

ER -