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Paper Information

Journal:   INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)   JUNE 2014 , Volume 12 , Number 6; Page(s) 421 To 426.
 
Paper: 

ULTRASOUND DETECTION OF PLACENTA ACCRETA IN THE FIRST TRIMESTER OF PREGNANCY

 
 
Author(s):  RAHIMI SHARBAF FATEMEH, JAMAL ASHRAF, MESDAGHINIA ELAHEH*, ABEDZADEH KALAHROUDI MASOUMEH, NIROOMANESH SHIRIN, ATOOF FATEMEH
 
* KARIMKHAN ZAND AVE., NORTH OSTAD NEJATOLLAHI ST., COMPREHENSIVE WOMENS HOSPITAL IN TEHRAN, TEHRAN, IRAN
 
Abstract: 

Background: Placenta accreta is considered a life-threatening condition and the main cause of maternal mortality. Prenatal diagnosis of placenta accreta usually is made by clinical presentation, imaging studies like ultrasound and MRI in the second and third trimester.
Objective: To determine accuracy of ultrasound findings for placenta accreta in the first trimester of pregnancy.
Materials and Methods: In a longitudinal study 323 high risk patients for placenta accreta were assessed. The eligible women were examined by vaginal and abdominal ultrasound for gestational sac and placental localization and they were followed up until the end of pregnancy. The ultrasound findings were compared with histopathological examinations as a gold standard. The sensitivity, specificity, positive and negative predictive value of ultrasound were estimated for the first trimester and compared with other 2 trimesters in the case of repeated ultrasound examination.
Results: Ultrasound examinations in the first trimester revealed that 28 cases had the findings in favor of placenta accreta which ultimately was confirmed in 7 cases. The ultrasound sensitivity and specificity for detecting placenta accreta in the first trimester was 41% [95% CI: 16.2-62.7] and 88% [95% CI: 88.2-94.6] respectively.
Conclusion: Ultrasound screening for placenta accreta in the first trimester of pregnancy could not achieve the high sensitivity as second and third trimester of pregnancy.

 
Keyword(s): PLACENTA ACCRETA, ULTRASONOGRAPHY, SCREENING, SENSITIVITY, SPECIFICITY
 
 
References: 
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Click to Cite.
APA: Copy

RAHIMI SHARBAF, F., & JAMAL, A., & MESDAGHINIA, E., & ABEDZADEH KALAHROUDI, M., & NIROOMANESH, S., & ATOOF, F. (2014). ULTRASOUND DETECTION OF PLACENTA ACCRETA IN THE FIRST TRIMESTER OF PREGNANCY. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), 12(6), 421-426. https://www.sid.ir/en/journal/ViewPaper.aspx?id=408248



Vancouver: Copy

RAHIMI SHARBAF FATEMEH, JAMAL ASHRAF, MESDAGHINIA ELAHEH, ABEDZADEH KALAHROUDI MASOUMEH, NIROOMANESH SHIRIN, ATOOF FATEMEH. ULTRASOUND DETECTION OF PLACENTA ACCRETA IN THE FIRST TRIMESTER OF PREGNANCY. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE). 2014 [cited 2021May06];12(6):421-426. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=408248



IEEE: Copy

RAHIMI SHARBAF, F., JAMAL, A., MESDAGHINIA, E., ABEDZADEH KALAHROUDI, M., NIROOMANESH, S., ATOOF, F., 2014. ULTRASOUND DETECTION OF PLACENTA ACCRETA IN THE FIRST TRIMESTER OF PREGNANCY. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), [online] 12(6), pp.421-426. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=408248.



 
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