Juniper Publishers | Journal of Gynecology and Women’s Health
Placenta Accreta Prenatal Diagnosis: Does MRI add to Sonography?- Journal of Gynecology and Women’s Health-Juniper Publishers
JUNIPER PUBLISHERS- JOURNAL OF GYNECOLOGY AND WOMEN’S
HEALTH
Placenta Accreta Prenatal Diagnosis: Does MRI add to Sonography?
Authored by Somya Aggarwal
The increasing incidence of Placenta accrete has greatly increased the
risk of a possible threat to life. The probability of a cesarean section
has, thus, increased. Previous cesarean sections with myometrial damage
greatly increases the chances of placenta accreta. An emergency
approach to its management is necessitated. In this paper we will detail
out whether MRI is still required for the diagnosis or prenatal
diagnosis though ultrasound is capable of diagnosing placenta accreta.Placenta accreta has the clinical feature of it in- dwelled into the
myometrial wall with abnormal implantation and invasion in it. The
amount of its in-growth or depth is an important aspect in management,
as this pathology is of prime concern in maternal mortality. The
diagnosis of placenta accreta or its various descriptive patterns like
placenta increta or placenta percreta is usually made by clinically and
by the use of Ultrasound and in some cases by MRI. Sometimes, it is just
discovered at the time of delivery. Placenta increta refers to invasion
of chorionic villi into myometrium whereas placenta percreta goes
beyond invasion of myometrium and into serosa and surrounding
structures. Massive hemorrhage during delivery due to its non-separation
from the uterine wall can lead to other coagulations including
disseminate intravascular coagulopathy and may be life threatening.
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