TY - JOUR
T1 - Changes in ultrasonography indicators of abnormally invasive placenta during pregnancy
AU - Calì, Giuseppe
AU - Timor-Trisch, Ilan E.
AU - Palacios-Jaraquemada, Josè
AU - Monteaugudo, Ana
AU - Forlani, Francesco
AU - Minneci, Gabriella
AU - Foti, Francesca
AU - Buca, Danilo
AU - Familiari, Alessandra
AU - Scambia, Giovanni
AU - Liberati, Marco
AU - D'Antonio, Francesco
PY - 2018
Y1 - 2018
N2 - Objective: To ascertain whether the prevalence of ultrasonography signs of abnormally invasive placenta (AIP) changes during pregnancy. Methods: The present retrospective analysis included women with a prenatal diagnosis of AIP that was confirmed at delivery between January 1, 2007, and April 30, 2017, at the Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy. Ultrasonography signs of AIP were recorded at four different intervals during pregnancy: early first (6â 9Â weeks), first (11â 14Â weeks), second (15â 24Â weeks), and third trimester (25â 36Â weeks). Results: There were 105 pregnancies included. Low implantation of the gestational sac was present on all ultrasonography images from the early first trimester compared with on 23 of 83 (27.7%) images from 11â 14Â weeks of pregnancy. The identification of loss of the clear space, placental lacunae, bladder wall interruption, and uterovesical hypervascularity all increased (all P<0.001) from the early first trimester onwards; these could all be identified in a majority of patients at 11â 14Â weeks of pregnancy. Conclusions: The prevalence of ultrasonography signs suggestive of AIP varied throughout pregnancy. During the early first trimester, indicators of AIP were similar to those of a cesarean scar pregnancy; classical ultrasonography signs of AIP were already present at 11â 14Â weeks of pregnancy for most patients.
AB - Objective: To ascertain whether the prevalence of ultrasonography signs of abnormally invasive placenta (AIP) changes during pregnancy. Methods: The present retrospective analysis included women with a prenatal diagnosis of AIP that was confirmed at delivery between January 1, 2007, and April 30, 2017, at the Department of Obstetrics and Gynaecology, Arnas Civico Hospital, Palermo, Italy. Ultrasonography signs of AIP were recorded at four different intervals during pregnancy: early first (6â 9Â weeks), first (11â 14Â weeks), second (15â 24Â weeks), and third trimester (25â 36Â weeks). Results: There were 105 pregnancies included. Low implantation of the gestational sac was present on all ultrasonography images from the early first trimester compared with on 23 of 83 (27.7%) images from 11â 14Â weeks of pregnancy. The identification of loss of the clear space, placental lacunae, bladder wall interruption, and uterovesical hypervascularity all increased (all P<0.001) from the early first trimester onwards; these could all be identified in a majority of patients at 11â 14Â weeks of pregnancy. Conclusions: The prevalence of ultrasonography signs suggestive of AIP varied throughout pregnancy. During the early first trimester, indicators of AIP were similar to those of a cesarean scar pregnancy; classical ultrasonography signs of AIP were already present at 11â 14Â weeks of pregnancy for most patients.
KW - Abnormal invasive placenta
KW - Obstetrics and Gynecology
KW - Placenta accreta
KW - Signs of placental invasion
KW - Ultrasound
KW - Abnormal invasive placenta
KW - Obstetrics and Gynecology
KW - Placenta accreta
KW - Signs of placental invasion
KW - Ultrasound
UR - https://publicatt.unicatt.it/handle/10807/112826
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85040173671&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85040173671&origin=inward
U2 - 10.1002/ijgo.12413
DO - 10.1002/ijgo.12413
M3 - Article
SN - 0020-7292
VL - 140
SP - 319
EP - 325
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 3
ER -