Placental thickness correlates with placenta accreta spectrum (PAS) disorder in women with placenta previa.
Low lying placenta
Placenta accreta spectrum
Placenta previa
Placental thickness
Ultrasound
Journal
Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
20
09
2020
accepted:
04
12
2020
revised:
29
11
2020
pubmed:
4
1
2021
medline:
22
6
2021
entrez:
3
1
2021
Statut:
ppublish
Résumé
To evaluate the association of placental thickness with placenta accreta spectrum disorder in placenta previa. In this IRB-approved, retrospective study, ultrasound (US) reports were retrospectively queried for keyword previa. US performed closest to mid-gestation were included. Three measurements were performed at the thickest portion of the placenta on longitudinal transabdominal images. Operative reports and surgical pathology were used as the reference standard. Statistical analysis was performed using unpaired T-tests and receiver operating curve (ROC) analysis. Sixty-five patients with placenta previa were included: 38 with PAS disorder and 27 without PAS disorder, clinically or pathologically. 38/38 (100%) patients of PAS group and 16/27 (59.3%) patients of non-PAS group had history of prior cesarean section. The average placental thickness was 4.3 cm (range 1.8 cm to 7.8 cm) for PAS group and 3.0 cm (range 0.6 cm to 5.3 cm) for non-PAS group (p < 0.001). Placental thickness in patients without PAS disorder and history of prior cesarean section was 3.1 (± 1.1) cm. This was statistically different from patients who had history of prior cesarean section with PAS diagnosis (4.3 cm, P<0.01). Using ROC analysis, a threshold measurement of 4.5 cm leads to sensitivity of 50% and specificity of 96%. Our results demonstrate that among women with placenta previa, increased placental thickness at lower uterine segment correlates with placenta accreta spectrum disorder. A threshold of 4.5 cm can be useful for screening patients with placenta previa and risks factors for PAS.
Identifiants
pubmed: 33388802
doi: 10.1007/s00261-020-02894-9
pii: 10.1007/s00261-020-02894-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2722-2728Références
Iyasu S, Saftlas AK, Rowley DL, Koonin LM, Lawson HW, Atrash HK. The epidemiology of placenta previa in the United States, 1979 through 1987. Am J Obstet Gynecol 1993;168: 1424–9.
pubmed: 8498422
Cresswell JA, Ronsmans C, Calvert C, Filippi V. Prevalence of placenta previa by world region: a systematic review and metaanalysis. Trop Med Int Health 2013;18:712–24.
pubmed: 23551357
Getahun D, Oyelese Y, Salihu HM, Ananth CV. Previous cesarean delivery and risks of placenta previa and placental abruption. Obstet Gynecol 2006;107:771–8.
pubmed: 16582111
Ananth CV, Smulian JC, Vintzileos AM. The association of placenta previa with history of cesarean delivery and abortion: a meta-analysis. Am J Obstet Gynecol 1997;177:1071–8.
pubmed: 9396896
Crane JM, Van den Hof MC, Dodds L, Armson BA, Liston R. Maternal complications with placenta previa. Am J Perinatol 2000;17:101–5.
pubmed: 11023169
Ananth CV, Smulian JC, Vintzileos AM. The effect of placenta previa on neonatal mortality: a population-based study in the United States, 1989 through 1997. Am J Obstet Gynecol 2003;188:1299–304.
pubmed: 12748502
Smith RS, Lauria MR, Comstock CH, Treadwell MC, Kirk JS, Lee W, et al. Transvaginal ultrasonography for all placentas that appear to be low lying or over the internal cervical os. Ultrasound Obstet Gynecol 1997;9:22–4.
pubmed: 9060125
Lauria MR, Smith RS, Treadwell MC, Comstock CH, Kirk JS, Lee W, et al. The use of second trimester ultrasonography to predict placenta previa. Ultrasound Obstet Gynecol 1996;8: 337–40.
pubmed: 8978009
Timor-Tritsch IE, Yunis RA. Confirming the safety of trans- vaginal sonography in patients suspected of having placenta previa. Obstet Gynecol 1993;81:742–4.
pubmed: 8469465
Becker RH, Vonk R, Mende BC, Ragosch V, Entezami M. The relevance of placental location at 20–23 gestational weeks for the prediction of placenta previa at delivery: evaluation of 8650 cases. Ultrasound Obstet Gynecol 2001;17: 496–501.
pubmed: 11422970
AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers, J Ultrasound Med, 2018 Jul; 37(7): 1587-1596
Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 2005;192: 1458–61.
pubmed: 15902137
Publications Committee, Society for Maternal-Fetal Medicine, Belfort MA. Placenta accreta. Am J Obstet Gynecol 2010;203: 430–9.
Morlando M, Samo L, Napolitano R, Capone A, Tessitore G, Maruotti GM, et al. Placenta accreta: incidence and risk factors in an area with a particularly high rate of cesarean section. Acta Obstet Gynecol Scand 2013;92:457–60.
pubmed: 23347183
Silver RM, Landon MB, Rouse DJ, Leveno KJ, Spong CY, Thom EA, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol 2006;107:1226–32.
pubmed: 16738145
Higgins MF, Monteith C, Foley M, O’Herlihy C. Real increasing incidence of hysterectomy for placenta accreta following previous caesarean section. Eur J Obstet Gynecol Reprod Biol 2013;17:54–6.
Clark SL, Koonings PP, Phelan JP. Placenta previa/accreta and prior cesarean section. Obstet Gynecol 1985;66:89–92.
pubmed: 4011075
Gyamfi-Bannerman C, Gilbert S, Landon MB, Spong CY, Rouse DJ, Varner MW, et al. Risk of uterine rupture and placenta accreta with prior uterine surgery outside of the lower segment. Obstet Gynecol 2012;120:1332–7.
pubmed: 23168757
pmcid: 3545277
Norwitz ER, Stern HM, Grier H, Lee-Parritz A. Placenta percreta and uterine rupture associated with prior whole body radiation therapy. Obstet Gynecol 2001;98:929–31.
pubmed: 11704208
Hare AA, Olah KS. Pregnancy following endometrial ablation: a review article. J Obstet Gynaecol 2005;25:108–14.
pubmed: 15814383
Wright JD, Pri-Paz S, Herzog TJ, Shah M, Bonanno C, Lewin SN, et al. Predictors of massive blood loss in women with placenta accreta. Am J Obstet Gynecol 2011;205:38.e1–6.
Eller AG, Porter TF, Soisson P, Silver RM. Optimal management strategies for placenta accreta. BJOG 2009;116:648–54.
pubmed: 19191778
Warshak CR, Ramos GA, Eskander R, Benirschke K, Saenz CC, Kelly TF, et al. Effect of predelivery diagnosis in 99 consecutive cases of placenta accreta. Obstet Gynecol 2010;115:65–9.
pubmed: 20027036
Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. The management and outcomes of placenta accreta, increta and percreta in the UK: a population-based descriptive study. BJOG 2014;121:62–70.
pubmed: 23924326
Shamshiraz AA, Fox KA, Salmanian B, Diaz-Arrastia CR, Lee W, Baker BW, et al. Maternal morbidity in patients with morbidly adherent placenta treated with and without a standardized multidisciplinary approach. Am J Obstet Gynecol2015;212:218.e1–9.
Berkley EM, Abuhamad AZ. Prenatal diagnosis of placenta accreta. Is sonography all we need? J Ultrasound Med 2013; 32:1345–50.
Comstock CH, Bronsteen RA. The antenatal diagnosis of placenta accreta. BJOG 2014;121:171–81.
pubmed: 24373591
Bowman ZS, Eller AG, Kennedy AM, Richards DS, Winter TC III, Woodward PJ, et al. Accuracy of ultrasound for the prediction of placenta accreta. Am J Obstet Gynecol 2014;211:210.e1–7.
Bowman ZS, Eller AG, Kennedy AM, Richards DS, Winter TC III, Woodward PJ, et al. Interobserver variability of ultrasound for the prediction of placenta accreta. J Ultrasound Med 2014;33:2153–8.
pubmed: 25425372
Gielchinsky Y, Mankuta D, Rojansky N, Laufer N, Gielchinsky I, Ezra Y. Perinatal outcome of pregnancies complicated by placenta accreta. Obstet Gynecol 2004;104:527–30.
pubmed: 15339763
Esakoff TF, Sparks TN, Kaimal AJ, Kim LH, Feldstein VA, Goldstein RB, et al. Diagnosis and morbidity of placenta accreta. Ultrasound Obstet Gynecol 2011;37:324–7.
pubmed: 20812377
D’Antonio F, Iacovella C, Palacios-Jarquemada J, Bruno CH, Manzoli L, Bhide A. Prenatal identification of invasive placentation using magnetic resonance imaging: systematic review and meta-analysis. Ultrasound Obstet Gynecol 2014;44:8–16.
pubmed: 24515654
Jauniaux E, Gronbeck L, Collins SL, Epidemiology of placenta previa accreta: a systematic review and meta-analysis. BMJ Open. 2019 Nov 12;9(11):e031193.
pubmed: 31722942
pmcid: 6858111
Collins SL, Alemdar B, Chantrain F et al; Evidence-based guidelines for the management of abnormally invasive placenta: recommendations from the International Society for Abnormally Invasive Placenta. Am J Obstet Gynecol. 2019 Jun;220(6):511-526.
pubmed: 30849356
Cahill AG, Beigi R, Wax JR et al; Placenta Accreta Spectrum. Am J Obstet Gynecol. 2018 Dec;219(6):B2-B16.
pubmed: 30471891
Jauniaux E, Ghide A, Collins S; FIGO consensus guidelines on placenta accreta spectrum disorders: Prenatal diagnosis and screening. FIGO Placenta Accreta Diagnosis and Management Expert Consensus Panel. Int J Gynaecol Obstet. 2018 Mar;140(3):274-280.
Dimitrova I, Jauniaux E, Nicholaides KH; Development of a training program for the ultrasound screening of placenta accreta spectrum disorders. Int J Gynaecol Obstet. 2019 Oct;147(1):73-77.
pubmed: 31265126
Zachary S Bowman, Alexandra G Eller, Robert M Silver, Interobserver Variability of Sonography for Prediction of Placenta Accreta J Ultrasound Med. 2014 Dec;33(12):2153-8.
AIUM-ACR-ACOG-SMFM-SRU Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound Examinations, J Ultrasound Med, 2018 Nov; 37 (11): E13-24
Hecht J, Baergen R, Heller DS et al, Class Classification and reporting guidelines for the pathology diagnosis of placenta accreta spectrum (PAS) disorders: recommendations from an expert panel, Mod Pathol. 2020 Dec; 33 (12) 2382-2396
pubmed: 32415266
Melcer Y, Jauniaux E, Maymon R et al. Impact of targeted scanning protocols on perinatal outcomes in pregnancies at risk of placenta accreta spectrum or vasa previa. Am J Obstet Gynecol. 2018 Apr; 218(4): 443.e1-443.e8
Amarnath Bhide, Arianna Laoreti, Andrea Kaelin Agten et al, Lower uterine segment placental thickness in women with abnormally invasive placenta, ActaObstet Gynecol Scand. 2019;98:95–100.
Craven CM, Zhao L, Ward K. Lateral placental growth occurs by trophoblast cell invasion of decidual veins. Placenta. 2000;21(2–3):160-169.
pubmed: 10736238
Ghourab S (2001) Third-trimester transvaginal ultrasonography in placenta previa: does the shape of the lower placental edge predict clinical outcome? Ultrasound Obstet Gynecol 18:103–108
pubmed: 11529987
Zaitoun MM, El Behery MM, Abd El Hameed AA, et al, Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa? Arch Gynecol Obstet (2011) 284:867–873
E Keshavarz, M Motevasselian, M Bakhtiyari et al; Gestational Age-Specific Reference Values of Placental Thickness in Normal Pregnant Women Women Health 2019 Aug;59(7):718-729.
pubmed: 30786837
Hironori Takahashi, Shigeki Matubara, Placental Thickness Measurement Is Difficult in Some Cases ta Obstet Gynecol Scand 2019 Feb;98(2):264-265.
Arianna Laoreti, Basky Thilaganathan, Amarnath Bhide et al; Placental Thickness in the Lower Uterine Segment and Invasive Placentation: Will the Promise Live Up? Acta Obstet Gynecol Scand, 2019 Feb;98(2):266.
pubmed: 30218616
Zhen-Zhen Liu, Yao Wei, Qing Dai et al; Antenatal Sonographic Diagnosis and Clinical Significance of Placenta Previa Accreta After Cesarean Section Zhongguo Yi Xue Ke Xue Yuan Xue Bao, 2017 Oct 30;39(5):693-698
pubmed: 29125114
Pettit KE, Stephenson ML, Ramos GA et al, Maternal and neonatal outcomes among scheduled versus unscheduled deliveries in women with prenatally diagnosed, pathologically proven placenta accreta. University of California Fetal Consortium. J Matern Fetal Neonatal Med. 2019 Mar;32(6):927-931
Fratto VM, Conturie CL, Ramos GA et al, Assessing the multidisciplinary team approaches to placenta accreta spectrum across five institutions within the University of California fetal Consortium (UCfC). University of California fetal Consortium. J Matern Fetal Neonatal Med. 2019 Oct 24:1-6.