ULTRASONOGRAPHY OF PLACENTA ACCRETA

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MEDICAL

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PLACENTAL ULTRASONOGRAPHY; FOCUS ON PLACENTA ACCRETA SPECTRUM:

PLACENTAL ULTRASONOGRAPHY; FOCUS ON PLACENTA ACCRETA SPECTRUM AHMED ZAKI, MSc, mrcog . Consultant ob / gyn ALEX-SYDNEY-KEIL HOSPITAL

THINGS WE NEED TO KNOW:

THINGS WE NEED TO KNOW PLACENTA IS THE BLACK BOX OF PREGNANCY OBSTETRICIANS ARE UNDERMINING THE ROLE OF PLACENTAL SONOGRAPHY OBSTETRICIANS ARE MORE DEPENDENT ON THEIR OWN SCAN REPORTS RADIOLOGIST ARE VERY RELUCTANT TO GIVE DEFINITE DIAGONSIS. THEY GIVE DESCRIPTION RATHER THAN A DIAGNOSIS Population studies have shown that placenta accreta spectrum remains undiagnosed before delivery in one-half to two-thirds of cases. (RCOG 2018)

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Many women with placenta accreta approach labour with great fear of death or serous complications. If through this presentation, we are able to save one single patient, then our efforts will be very well justified. AHMED ZAKI

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INTERRUPTED RETROPLACENTAL SPACE DISAPPEARED INVADING SEROSA

Normal placenta:

Normal placenta

BASAL PLATE > 2 MM:

BASAL PLATE > 2 MM

INVASION OF BLADDER SEROSA:

INVASION OF BLADDER SEROSA

NOT ALL ACCRITA IS LOW LYING:

NOT ALL ACCRITA IS LOW LYING

P. ACCRITA AT 18 WEEKS:

P. ACCRITA AT 18 WEEKS

Doppler ultrasound of the placenta accreta:

Doppler ultrasound of the placenta accreta

P. PERCRITA:

P. PERCRITA

PP centralis (PERCRETA.. Notice invading bladder- INVSION OF BLADDER SEROSA):

PP centralis (PERCRETA .. Notice invading bladder- INVSION OF BLADDER SEROSA) HEND

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Ultrasound imaging is highly accurate when performed by a skilled operator with experience in diagnosing placenta accreta spectrum. [New 2018] C Refer women with any ultrasound features suggestive of placenta accreta spectrum to a specialist unit with imaging expertise. [New 2018]

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Conclusion Ultrasound imaging is the mainstay of screening for placenta accreta . MRI appears to be complementary to ultrasonography, especially when there are few ultrasound signs . PLACENTA ACCRETA HAS TO BE DIAGNOSED ANTENATALLY & MANAGED BY PA TEAM

YOU WILL NEVER BE ABLE TO DIAGNOSE PA UNLESS YOU ARE PA MINDED:

YOU WILL NEVER BE ABLE TO DIAGNOSE PA UNLESS YOU ARE PA MINDED EYES CANNOT SEE WHAT THE BRAIN DOES NOT KNOW

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