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Dergi Kimliği

Online ISSN (İngilizce)
1305-3124

Basılı ISSN (Türkçe)
1300-5251

Online ISSN (Türkçe)
1305-3132

Kuruluş
1993

Editör
Cihat Şen

Yardımcı Editörler
Murat Yayla, Oluş Api

Ultrasound diagnosis of placenta accreta: yes we can

Giuseppe Cali

Künye

Ultrasound diagnosis of placenta accreta: yes we can. Perinatoloji Dergisi 2014;22(3):s13 DOI: 10.2399/prn.14.S001084

Yazar Bilgileri

Giuseppe Cali

  1. Departement of Obstetrics and Gynecology ARNAS Civico, Di Cristina e Benfratelli- Palermo IT
Yazışma Adresi

Giuseppe Cali, Departement of Obstetrics and Gynecology ARNAS Civico, Di Cristina e Benfratelli- Palermo IT,

Yayın Geçmişi

Yayınlanma Tarihi: 01 Ekim 2014

Çıkar Çakışması

Çıkar çakışması bulunmadığı belirtilmiştir.

The three forms of morbidly adherent placenta (MAP): placenta accreta, increta and percreta, present a significant obstetric challenge, at times resulting in life-threatening bleeding and/or peripartum hysterectomy. The increasing rate of Cesarean section (CS) deliveries correlates with the rising incidence of MAP. It occurs in 9.3% of women with placenta previa and in 0.04% of women without placenta previa4, the risk being 5% in placenta previa cases with no previous uterine surgery, 24% in those with a previous CS and 67% in those with four previous CS. In addition to previous CS, a maternal age over 35years, multiparity, previous curettage and pla- centa previa are risk factors associated with MAP. This condition is often diagnosed during CS, upon placental removal, with unfavorable maternal outcome: attempts to remove the placenta can cause severe uterine bleeding. An accurate prenatal diagnosis is required to reduce the risk of maternal/fetal morbidity and mortality. Ultrasonography is used routinely for diagnosis of MAP, although diagnostic criteria and accuracy are still subject to debate. Magnetic resonance imaging (MRI) can be helpful when the placenta is difficult to visualize on ultrasound due to the patient’s body habitus or to a posterior location of the placenta.
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