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First-trimester screening for placenta accreta spectrum.

Pe'er Dar1, Georgios Doulaveris1

  • 1Division of Fetal Medicine and Ultrasound, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine (Drs Dar and Doulaveris), Bronx, NY.

American Journal of Obstetrics & Gynecology MFM
|March 6, 2024
PubMed
Summary
This summary is machine-generated.

Early first-trimester ultrasound can detect placenta accreta spectrum, a dangerous childbirth complication. This approach aids delivery planning, reducing maternal and neonatal risks for better outcomes.

Keywords:
first trimesterplacenta accretascreeningultrasound

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Area of Science:

  • Maternal-Fetal Medicine
  • Diagnostic Imaging
  • Obstetrics

Background:

  • Placenta accreta spectrum (PAS) cases are rising, posing significant risks during childbirth.
  • Third-trimester ultrasound is often insufficient for timely PAS diagnosis and delivery planning.
  • Early detection of PAS is critical for improving maternal and neonatal outcomes.

Purpose of the Study:

  • To review first-trimester sonographic markers for placenta accreta spectrum.
  • To evaluate the assessment of the uterine cervicoisthmic complex and cesarean scars in early pregnancy.
  • To explore effective first-trimester screening strategies for PAS.

Main Methods:

  • Comprehensive literature review on first-trimester ultrasound for PAS detection.
  • Analysis of sonographic findings in the uterine cervicoisthmic region.
  • Examination of cesarean scar characteristics in early pregnancy.

Main Results:

  • First-trimester ultrasound shows potential for early PAS detection.
  • Specific sonographic features of the cervicoisthmic complex and scars are associated with PAS.
  • Early screening strategies can be developed based on these findings.

Conclusions:

  • First-trimester screening for PAS is feasible and beneficial.
  • Early identification allows for optimized delivery planning, reducing complications.
  • Implementing first-trimester assessment can improve maternal and neonatal health outcomes.