Document Detail


Placenta accreta: clinical risk factors, accuracy of antenatal diagnosis and effect on pregnancy outcome.
MedLine Citation:
PMID:  20954554     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study is to evaluate the clinical risk factors, accuracy of antenatal ultrasound for diagnosis, and the effect of these on pregnancy outcome. It is a retrospective study looking at cases which had hysterectomy following vaginal or caesarean section deliveries from 1993 to 2005. Data regarding the maternal demographic characteristics, number of previous CS, number of previous termination/curettage, antenatal scan findings (state features) and the gestation at which accreta was first suspected/diagnosed, MRI scan findings, pregnancy outcome (need for hysterectomy, amount of blood loss, amount of transfusion, length of ICU and hospital stay, other maternal complications, and neonatal outcome) were collected and evaluated. There were a total of 40 cases diagnosed to have abnormal placental attachment and majority of these were actually diagnosed antenatally by sonography. Visualisation of an absence or thinning of hypoechoic myometrial zone had the highest sensitivity to detect placenta accreta followed by intraplacental lacunae, focal mass tissue elevation and disruption of uterine serosal bladder wall.
Authors:
S Sofiah; Y C Fung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  64     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-10-19     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  298-302     Citation Subset:  IM    
Affiliation:
Department of O & G, Medical Faculty, University Malaya, 59100 Kuala Lumpur. sofiah@um.edu.my
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Placenta Accreta / diagnosis,  etiology*
Pregnancy
Pregnancy Outcome
Prenatal Diagnosis*
Risk Factors

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