Cover Image

Ultrasound screening at 11-14 weeks of pregnancy for diagnosis of placenta accreta in mothers with a history of cesarean section

Ladan Younesi, Zahra Karimi Dehkordi, Zeinab Safarpour Lima, Ghazaleh Amjad
  • Ladan Younesi
    Department of Radiology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of
  • Zahra Karimi Dehkordi
    Department of Radiology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of | Z_k_dehkordi@yahoo.com
  • Zeinab Safarpour Lima
    Department of Radiology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of
  • Ghazaleh Amjad
    Department of Radiology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of

Abstract

The aim of this study was to add ultrasonographic screening criteria for placenta accreta in patients with cesarean section history at 11-14 weeks of gestation in order to identify those with the high risk of placenta accreta. Consequently, using ultrasound follow-up and confirmation of diagnosis can reduce mortality and morbidity. Pregnant mothers who were referred for routine screening for ultrasonography at 11–14 weeks of gestation were enrolled in the study if they had a history of cesarean section. Of the 184 subjects who were included in the study, 23 of the low-risk groups were excluded from study for some reason such as miscarriage and a lack of required information on the time of delivery. Among the 152 subjects, 27 were classified in the high-risk group (17.7%) and 125 subjects in the low-risk group (82.3%). Only one case in the high risk group was identified in patients with placenta accreta by ultrasound and clinical diagnosis, which has undergone a cesarean section at the gestational age of 35 weeks. There was no relationship between placenta accreta and disease risk, placenta previa, cesarean section, maternal age, and gravidity. Therefore, placenta accreta screening using ultrasonography can identify high-risk individuals at week 14-11 and with subsequent follow-up for improving prenatal prognosis.

Keywords

Placenta accreta, first trimester of pregnancy, history of cesarean section, ultrasound screening

Full Text:

PDF
Submitted: 2018-08-15 17:38:57
Published: 2018-11-02 10:50:08
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
4

Views:
PDF
2

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2018 Ladan Younesi, Zahra Karimi Dehkordi, Zeinab Safarpour Lima, Ghazaleh Amjad

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2018     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185     •     Privacy