Prenatal diagnosis of placenta acretta by ultrasound and its histopathological association
Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social..
Background: Anomalous adhesions of the placenta, known as placenta accreta and its variants, are the cause of obstetric hemorrhages that put the pregnant woman at risk. Accretism is strongly associated with a history of uterine surgery (cesarean section, myomectomy, curettage), as well as ultrasonographic signs, such as the presence and size of placental lacunae, loss of the placenta/bladder interface, location on the anterior face of the placenta, and presence of Doppler flow; these markers can be assessed by prenatal ultrasound.
Objective: To analyze the association of prenatal diagnosis of placenta accreta by ultrasound with the histopathological result using the Tovbin index.
Material and methods: Observational, cross-sectional and analytical study. 63 patients who had placenta accreta data by ultrasound measured with the Tovbin index and by means of the histopathological result obtained from the platform of the Mexican Institute for Social Security (IMSS) were included. The association between the two studies with the presence of placenta accreta was analyzed.
Results: 63 patients were analyzed; the Tovbin index was positive in 89% of the patients with a diagnosis of placenta accreta confirmed by histopathology. Both the Tovbin index and the histopathology report showed a statistically significant association with a p value of 0.04 for the diagnosis of placenta accreta.
Conclusion: The Tovbin index as an ultrasonographic prenatal diagnosis of placenta accreta has a statistically significant association with histopathology diagnosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
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| Enthalten in: |
Revista medica del Instituto Mexicano del Seguro Social - 61(2023), Suppl 2 vom: 18. Sept., Seite S96-S102 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Diagnóstico prenatal de acretismo placentario por ultrasonido y su asociación histopatológica |
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| Beteiligte Personen: |
Zapien-Terrones, Braulio César [VerfasserIn] |
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| Anmerkungen: |
Date Completed 29.11.2023 Date Revised 04.01.2024 published: Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM365023914 |
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| 100 | 1 | |a Zapien-Terrones, Braulio César |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Prenatal diagnosis of placenta acretta by ultrasound and its histopathological association |
| 246 | 3 | 3 | |a Diagnóstico prenatal de acretismo placentario por ultrasonido y su asociación histopatológica |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 29.11.2023 | ||
| 500 | |a Date Revised 04.01.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social. | ||
| 520 | |a Background: Anomalous adhesions of the placenta, known as placenta accreta and its variants, are the cause of obstetric hemorrhages that put the pregnant woman at risk. Accretism is strongly associated with a history of uterine surgery (cesarean section, myomectomy, curettage), as well as ultrasonographic signs, such as the presence and size of placental lacunae, loss of the placenta/bladder interface, location on the anterior face of the placenta, and presence of Doppler flow; these markers can be assessed by prenatal ultrasound | ||
| 520 | |a Objective: To analyze the association of prenatal diagnosis of placenta accreta by ultrasound with the histopathological result using the Tovbin index | ||
| 520 | |a Material and methods: Observational, cross-sectional and analytical study. 63 patients who had placenta accreta data by ultrasound measured with the Tovbin index and by means of the histopathological result obtained from the platform of the Mexican Institute for Social Security (IMSS) were included. The association between the two studies with the presence of placenta accreta was analyzed | ||
| 520 | |a Results: 63 patients were analyzed; the Tovbin index was positive in 89% of the patients with a diagnosis of placenta accreta confirmed by histopathology. Both the Tovbin index and the histopathology report showed a statistically significant association with a p value of 0.04 for the diagnosis of placenta accreta | ||
| 520 | |a Conclusion: The Tovbin index as an ultrasonographic prenatal diagnosis of placenta accreta has a statistically significant association with histopathology diagnosis | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Cesarean Section | |
| 650 | 4 | |a Cesárea | |
| 650 | 4 | |a Complicaciones del Embarazo | |
| 650 | 4 | |a Cross-Sectional Studies | |
| 650 | 4 | |a Estudios Transversales | |
| 650 | 4 | |a Hemorragia Posparto | |
| 650 | 4 | |a Maternal Mortality | |
| 650 | 4 | |a Mortalidad Materna | |
| 650 | 4 | |a Postpartum Hemorrhage | |
| 650 | 4 | |a Pregnancy Complications | |
| 700 | 1 | |a Naves-Sánchez, Jaime |e verfasserin |4 aut | |
| 700 | 1 | |a Sosa-Bustamante, Gloria Patricia |e verfasserin |4 aut | |
| 700 | 1 | |a González, Alma Patricia |e verfasserin |4 aut | |
| 700 | 1 | |a Paque-Bautista, Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Luna-Anguiano, José Luis Felipe |e verfasserin |4 aut | |
| 700 | 1 | |a Peralta-Cortázar, Catalina |e verfasserin |4 aut | |
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