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Can 3-Dimensional Power Doppler Indices Improve the Prenatal Diagnosis of a Potentially Morbidly Adherent Placenta in Patients With Placenta Previa?

Haidar, Z.A.; Papanna, R.; Sibai, B.M.; Tatevian, N.; Viteri, O.A.; Vowels, P.C.; Blackwell, S.C.; Moise, K.J., Jr

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 106
doi: 10.1097/01.aoa.0000532304.98988.bc
Mother, Fetus, Neonate

(Am J Obstet Gynecol. 2017;217(2):202.e1–202.e13)

The incidence of morbidly adherent placenta (MAP), a condition that can result in life-threatening hemorrhage and other maternal morbidities, has been on the rise. Traditionally, 2-dimensional (2D) ultrasound has been used to diagnose MAP and severe MAP (increta and percreta). This diagnosis is subjective as it relies on clinician interpretation of the ultrasound examination. This study aimed to evaluate the ability of a 3D power Doppler technique to diagnose MAP and severe MAP, as compared with gray-scale 2D ultrasound.

Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX

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