Premium
A simple guide to ultrasound screening for placenta accreta spectrum for improving detection and optimizing management in resource limited settings
Author(s) -
AduBredu Theophilus K.,
Rijken Marcus J.,
NietoCalvache Albaro Jose,
Stefanovic Vedran,
Aryananda Rozi Aditya,
Fox Karin Anneliese,
Collins Sally L.
Publication year - 2023
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.14376
Subject(s) - placenta accreta , medicine , obstetrics , pregnancy , risk stratification , limited resources , prenatal diagnosis , intensive care medicine , placenta , fetus , risk analysis (engineering) , genetics , cardiology , biology
Placenta accreta spectrum is a pregnancy complication associated with severe morbidity and maternal mortality especially when not suspected antenatally and appropriate management instigated. Women in resource‐limited settings are more likely to face adverse outcomes due to logistic, technical, and resource inadequacies. Accurate prenatal imaging is an important step in ensuring good outcomes because it allows adequate preparation and an appropriate management approach. This article provides a simple three‐step approach aimed at guiding clinicians and sonographers with minimal experience in placental accreta spectrum through risk stratification and basic prenatal screening for this condition both with and without Doppler ultrasound.