Using Ultrasound in the Clinical Management of Placental Implantation Abnormalities.

Publication/Presentation Date

10-1-2015

Abstract

Placental implantation abnormalities, including placenta previa, placenta accreta, vasa previa, and velamentous cord insertion, can have catastrophic consequences for both mother and fetus, especially as pregnancy progresses to term. In these situations, current recommendations for management usually call for an indicated preterm delivery even in asymptomatic patients. However, the recommended gestational age(s) for delivery in asymptomatic patients are empirically determined without consideration of the recent literature regarding the usefulness of specific ultrasound findings to help individualize management. The purpose of this article is to propose literature-supported guidelines to the current opinion-based management of asymptomatic patients with placental implantation abnormalities based on relevant and specific ultrasound findings such as cervical length, distance between the internal cervical os and placenta, and placental edge thickness.

Volume

213

Issue

4 Suppl

First Page

S70

Last Page

S77

ISSN

1097-6868

Disciplines

Obstetrics and Gynecology

PubMedID

26428505

Peer Reviewed for front end display

Peer-Reviewed

Department(s)

Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty

Document Type

Article

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