PLACENTA PREVIA ACCRETA RISK FACTORS AND PRENATAL DIAGNOSIS BY COLOR.

  • Baghdad Teaching Hospital, Medical City. Baghdad, Iraq.
  • Department of Biochemistry/ University of Diayla.
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Background: The incidence of placenta accreta has increased dramatically over the last three decades, in concern with the increase in the cesarean delivery rate. Optimal management requires accurate prenatal diagnosis. Objectives: To identify the risk factors for the development of placenta previa accrete as compared to placenta noneaccrete and to evaluate the role of trans-abdominal color Doppler in diagnosis placenta previa accreta. Methods: Prospective interventional study done at gynecology and obstetrics department,Baghdad teaching hospital, NursingHome, Medicalcity, Baghdad, Iraq. During the twenty one month study period, 53woman all beyond 28week and all with ultrasound diagnosis of placenta previa were included in the study. Results: Of the 53 placenta previa cases,(ten women exhibited characteristic color Doppler imaging patterns highly specific for placenta accreta. One of them had false positive color Doppler imaging, and nine confirmed at cesarean section to have placenta accreta. Seven of them underwent emergency hysterectomy. Of the 43 women with negative color Doppler imaging results, two had placenta accreta required cesarean hysterectomy (false negative), and both were posterior placenta previa. However, there were two cases of placenta previa non accreta required cesarean hysterectomy because of uncontrollable hemorrhage (inertia). The sensitivity of color Doppler imaging in the diagnosis of placenta previa accreta was 81.8%, specificity was 97.6%, the positive and negative predictive value were 90% and 95.3% respectively. Conclusion: Previous C/S is a major risk factor for the development of placenta accretamainly repeated uterine operation, although both gravidity and curettage increase the incidence they were not reach statistical significance.

  1. Riteau A-S, Tassin M, Chambon G, Le Vaillant C, de Laveaucoupet J, et al. Accuracy of Ultrasonography and Magnetic Resonance Imaging in the Diagnosis of Placenta Accreta. PLoS ONE.2014;9(4).
  2. Dwyer B K, Victoria Belogolovkin V, Tran L, Rao A, Carroll I, BarthR, ChitkaraU.Prenatal Diagnosis of Placenta Accreta Sonography or Magnetic Resonance Imaging?J Ultrasound Med 2008; 27:1275?1281.
  3. Shih J C, Jaraquemada J M P, Shyu M K, Lin S Y, and Lee C N.Role of three-dimensional power Doppler in the antenatal diagnosis of placenta accreta: comparison with gray-scale and color Doppler techniques.Ultrasound ObstetGynecol 2009; 33: 193?203.
  4. Fitzpatrick K E, Sellers S, Spark P, Kurinczuk J J, Brocklehurst P and Knight . Incidence and Risk Factors for Placenta Accreta/Increta/ Percreta in the UK: A National Case-Control Study.Plose one,December 2012 ; 7 : 12.
  5. Birnbach DJ, Browne IM. Anesthesia for Obstetrics. Chapter 69. In: Miller?s Anesthesia. 7th edition. Saunders; 2009.
  6. Abuhamad A. Morbidly adherent placenta. SeminPerinatol 2014; 37; 359-64.
  7. Oyelese Y, Smulian JC. Placenta previa, placenta accreta, and vasa previa. ObstetGynecol 2006; 107: 927-41
  8. Eshkoli T, Weintraub AY, Sergienko R, Sheiner E. Placenta accreta: risk factors, perinatal outcomes and consequences for subsequent births. Am J ObstetGynecol 2013; 208: 219.
  9. Cali G, Giambanco L, Puccio G and Forlani F.Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accrete from percreta.Ultrasound ObstetGynecol 2013; 41: 406?412.
  10. Cheung C S and Chan B C. The sonographic appearance and obstetric management of placenta accrete. International Journal of Women?s Health 2012:4 587?594.
  11. Berkley E M and Abuhamad A Z.Prenatal Diagnosis of Placenta Accreta Is Sonography All We Need?J Ultrasound Med 2013; 32:1345?1350. |
  12. American College of Obstetricians and Gynecologists. Placenta accreta: committee opinion no. 529. ObstetGynecol 2012; 120:207?211.
  13. Esakoff TF, Sparks TN, Kaimal AJ, et al. Diagnosis and morbidity of placenta accreta. Ultrasound ObstetGynecol 2011; 37:324?327.
  14. Gielchinsky Y, Mankuta D, Rojansky N, Laufer N, Gielchinsky I, Ezra Y. Perinatal outcome of pregnancies complicated by placenta accreta. ObstetGynecol 2004; 104:527?530.
  15. McLean LA, Heilbrun ME, Eller AG, Kennedy AM, Woodward PJ. Assessing the role of magnetic resonance imaging in the management of gravid patients at risk for placenta accreta. AcadRadiol 2011; 18:1175?1180.
  16. OyeleseYandSmulian J C.Placenta Previa, Placenta Accreta, and Vasa Previa.American collage of obstetric and gyengology .2006; 107:. 4.
  17. Morlando M, Sarnos L, Napolitano R, Capone A,Tessitoret G, Maruotti G M&Martinelli P.Placenta accreta: incidence and risk factors in an area with a particularly high rate of cesarean section.Nordic Federation of Societies of Obstetrics and Gynecology .2013; 457?460.
  18. Comstock CH. Antenatal diagnosis of placenta accreta: a review. Ultrasound ObstetGynecol 2005; 26:89-96.
  19. Sofiah S and Fung LYC.Placenta Accreta: Clinical Risk Factors, Accuracy ofAntenatal Diagnosis and Effect on Pregnancy Outcome.Med J Malaysia .2009; 64: 4.
  20. Clark SL.Placenta previa and Abruptio placentae.CreasyRK,ResnikR.Maternal fetal medicine .4thed .Philadelphia.W.B.Saunders Company .1999;616-621.
  21. GarimiGali ,RaedSalim Epidemiology, Etiology, Diagnosis, and Management of Placenta Accreta.Obstetrics and Gynecology International.2012; 7
  22. Nunes C, CarvalhoR.M.Ara?jo C, SantoS and Melo A.Diagnosis of placenta accreta by ultrasonography: a "gold standard. ActaObstetGinecol Port 2014;8(2):136-140.
  23. Beuker J M, Erwich J J HM and KhongT Y.Is endomyometrial injury during termination of pregnancy or curettage following miscarriage the precursor to placenta accreta?J ClinPathol 2005; 58:273?275.
  24. Bahar A, Abusham A, Eskandar M Sobande A and Alsunaidi M.Risk Factors and Pregnancy Outcome in Different Types of Placenta Previa.J ObstetGynaecol Can 2009; 31(2):126?131.
  25. Usta I M ,Hobeika E M, Abu Musa A A,, Gabrie G E and NassarA H . Placenta previa-accreta: Risk factors and complications.americangournal of obstetric and gyencolgy . 2005; 193: 1045?1049.
  26. K?st?1 B, Ercan O, ?zer A, Bakacak M and Avc F.Male fetus domination in total placenta previa cases.Perinatal Journal 2015;23(2):84?88.
  27. Chou MM,HoES,LeeYH.Prenatal diagnosis of placenta previa accreta by transabdominal color Doppler .U/S Obstet .Gynecol .2000;15:28-35.
  28. Woodringa T C, Klauserb C K, Bofilla J A, Martina R W & Morrison J C.Prediction of placenta accreta by ultrasonography and color doppler imaging.The Journal of Maternal-Fetal & Neonatal Medicine.2011; 24: 1,118-121.
  29. Bowman ZS, Eller AG, Kennedy AM, Richards DS, Winter TC, Woodward and Silver RM.Accuracy of ultrasound for the prediction of placenta accreta.Am J Obstet Gynecol. 2014 Aug; 211(2):177.

[Rasha Rasheed Al Jawhar and Zeina F. Fuad. (2018); PLACENTA PREVIA ACCRETA RISK FACTORS AND PRENATAL DIAGNOSIS BY COLOR. Int. J. of Adv. Res. 6 (Jun). 608-615] (ISSN 2320-5407). www.journalijar.com

Rasha Rasheed Al Jawhar
Baghdad Teaching Hospital, Medical City. Baghdad, Iraq

DOI:

Article DOI: 10.21474/IJAR01/7251      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7251

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