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 language | English |
|---|---|
| Journal | Gynecologic and Obstetric Investigation |
| DOIs | |
| Publication status | Accepted/In press - Jan 1 2018 |
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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 journal › Article
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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 -