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Article: The sonographic appearance and obstetric management of placenta accreta

TitleThe sonographic appearance and obstetric management of placenta accreta
Authors
Issue Date2012
PublisherDove Medical Press Ltd.. The Journal's web site is located at http://www.dovepress.com/international-journal-of-womens-health-journal
Citation
International Journal of Women's Health, 2012, v. 4, p. 587-594 How to Cite?
AbstractPlacenta accreta is a condition of abnormal placental implantation in which the placental tissue invades beyond the decidua basalis. It may invade into or even through the myometrium and adjacent organs, such as the urinary bladder. The incidence has been rising in recent years. It is one of the important obstetric complications nowadays, leading to significant maternal morbidity and mortality. In the past, this condition was often diagnosed at the time of delivery when massive and unexpected hemorrhage occurred. Hysterectomy, associated with significant physical and psychological consequences, was usually the only management option. As more obstetricians have become aware of this condition, early identification with antenatal imaging diagnostic technology has become possible. Ultrasound scan plays an important role in the antenatal diagnosis. Various sonographic features with different specificity and sensitivity have been described in the literature. In equivocal cases, magnetic resonance imaging may be helpful. With such information, more accurate counseling can be offered to the mothers and their families before delivery. The delivery can also be arranged at a favorable time and in an institution where multidisciplinary support is available. Input from a hematologist, interventional radiologist, intensive care physician, urology surgeon, and/or other specialist are desirable. Apart from hysterectomy, various forms of conservative management can also be considered when the diagnosis is made prior to delivery. Fertility can therefore be preserved. After delivery, with or without hysterectomy performed, psychological support to the mothers and their families is essential.
Persistent Identifierhttp://hdl.handle.net/10722/197657
ISSN
2015 SCImago Journal Rankings: 0.802
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, CSYen_US
dc.contributor.authorChan, CPen_US
dc.date.accessioned2014-05-29T08:36:51Z-
dc.date.available2014-05-29T08:36:51Z-
dc.date.issued2012en_US
dc.identifier.citationInternational Journal of Women's Health, 2012, v. 4, p. 587-594en_US
dc.identifier.issn1179-1411-
dc.identifier.urihttp://hdl.handle.net/10722/197657-
dc.description.abstractPlacenta accreta is a condition of abnormal placental implantation in which the placental tissue invades beyond the decidua basalis. It may invade into or even through the myometrium and adjacent organs, such as the urinary bladder. The incidence has been rising in recent years. It is one of the important obstetric complications nowadays, leading to significant maternal morbidity and mortality. In the past, this condition was often diagnosed at the time of delivery when massive and unexpected hemorrhage occurred. Hysterectomy, associated with significant physical and psychological consequences, was usually the only management option. As more obstetricians have become aware of this condition, early identification with antenatal imaging diagnostic technology has become possible. Ultrasound scan plays an important role in the antenatal diagnosis. Various sonographic features with different specificity and sensitivity have been described in the literature. In equivocal cases, magnetic resonance imaging may be helpful. With such information, more accurate counseling can be offered to the mothers and their families before delivery. The delivery can also be arranged at a favorable time and in an institution where multidisciplinary support is available. Input from a hematologist, interventional radiologist, intensive care physician, urology surgeon, and/or other specialist are desirable. Apart from hysterectomy, various forms of conservative management can also be considered when the diagnosis is made prior to delivery. Fertility can therefore be preserved. After delivery, with or without hysterectomy performed, psychological support to the mothers and their families is essential.en_US
dc.languageengen_US
dc.publisherDove Medical Press Ltd.. The Journal's web site is located at http://www.dovepress.com/international-journal-of-womens-health-journalen_US
dc.relation.ispartofInternational Journal of Women's Healthen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleThe sonographic appearance and obstetric management of placenta accretaen_US
dc.typeArticleen_US
dc.identifier.emailCheung, CSY: csy088@hku.hken_US
dc.identifier.emailChan, CP: bcpchan@hkucc.hku.hken_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.2147/IJWH.S28853-
dc.identifier.pmid23239929-
dc.identifier.pmcidPMC3516467-
dc.identifier.hkuros228976en_US
dc.identifier.volume4en_US
dc.identifier.spage587en_US
dc.identifier.epage594en_US
dc.publisher.placeUnited Kingdom-

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