Modern approaches to prenatal diagnosis and screening of placenta accreta (review of recommendations)
Aim. To improve the accuracy of prenatal diagnosis of placenta accreta and compliance of the research protocols with international requirements by using standardized ultrasound criteria.Gus A.I., Boykova Yu.V., Yarygina T.A., Yarotskaya E.L.
Materials and methods. The review includes scientific articles and meta-analyses of various approaches to ultrasound and radiologic imaging of placenta accreta over the past 5 years.
Results. Based on the generalized results of the analyzed scientific information, the standardized ultrasound criteria for placenta accreta were proposed, which contribute to the improvement of prenatal diagnosis of the condition, minimization of diagnostic errors and formulation of a standard examination protocol.
Conclusion. In accordance with the recommendations of expert working groups of the most significant international professional communities, the primary role of echography in prenatal diagnosis and screening of placenta accreta was determined, as well as the need to use a standard protocol with registration of each ultrasound sign.
Keywords
placenta accreta
ultrasound examination
magnetic resonance imaging (MRI)
pretatal diagnosis
cesarean section
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Received 12.08.2020
Accepted 02.10.2020
About the Authors
Alexander I. Gus, M.D., Professor, Head of the Department of Ultrasound and Functional Diagnostics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia. Tel.: +7(495)531-44-44. E-mail: a_gus@oparina4.ru. ORCID: 0000-0003-1377-3128. 117997, Russian Federation, Moscow, Academica Oparina str., 4.Yulia V. Boykova, Ph.D, specialist in ultrasound diagnostics, the Department of Ultrasound and Functional Diagnostics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia. E-mail: j_boikova@oparina4.ru.
117997, Russian Federation, Moscow, Academica Oparina str., 4.
Tamara A. Yarygina, specialist in ultrasound diagnostics, the Department of Ultrasound and Functional Diagnostics, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia. Tel.: +7(495)531-44-44.
E-mail: tamarayarygina@gmail.com. ORCID: 0000-0001-6140-1930. 117997, Russian Federation, Moscow, Academica Oparina str., 4.
Ekaterina L. Yarotskaya, M.D., Associate Professor, Head of the Department of International Cooperation, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russia. E-mail: e_yarotskaya@oparina4.ru.
117997, Russian Federation, Moscow, Academica Oparina str., 4.
For citation: Gus. A.I., Boykova Yu.V., Yarygina T.A., Yarotskaya E.L. Modern approaches to prenatal diagnosis and screening of placenta accreta (Review of Recommendations) Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 10: 5-12 (in Russian)
https://dx.doi.org/10.18565/aig.2020.10.5-12
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