Utility of the pulsatility index of the uterine arteries and human chorionic gonadotropin in a series of cases of placenta accreta

The conservative management of retained placenta accreta has been proposed as an alternative option in selected cases. Three patients under conservative management of placenta accreta were followed using the pulsatility index of the uterine arteries and the β fraction of human chorionic gonadotropin to determine the degree of vascularity between the uterus and the placenta. In this series of cases of conservative management of placenta accreta, the pulsatility index of the uterine arteries showed a better correlation with the uteroplacental circulation than serum β fraction of human chorionic gonadotropin.

[1]  R. Adams,et al.  The American College of Obstetricians and Gynecologists , 2018, Obstetrics & Gynecology.

[2]  F. Kikkawa,et al.  Placenta previa increta/percreta in Japan: A retrospective study of ultrasound findings, management and clinical course , 2007, The journal of obstetrics and gynaecology research.

[3]  O. Axelsson,et al.  Longitudinal study of Doppler flow resistance indices of the uterine arteries after normal vaginal delivery , 2007, Acta obstetricia et gynecologica Scandinavica.

[4]  J. Bartoli,et al.  Results of endovascular treatment in cases of abnormal placentation with post‐partum hemorrhage , 2007, The journal of obstetrics and gynaecology research.

[5]  J. O'Brien.  Placenta previa, placenta accreta, and vasa previa. , 2007, Obstetrics and gynecology.

[6]  N. Berkane,et al.  Conservative versus extirpative management in cases of placenta accreta. , 2005, Obstetrics and gynecology.

[7]  ACOG Committee opinion. Number 266, January 2002 : placenta accreta. , 2002, Obstetrics and gynecology.

[8]  N. Matsumura,et al.  Changes in the Serum Levels of Human Chorionic Gonadotropin and the Pulsatility Index of Uterine Arteries during Conservative Management of Retained Adherent Placenta , 2000, The journal of obstetrics and gynaecology research.

[9]  R. North,et al.  Uterine Artery Doppler Flow Velocity Waveforms in the Second Trimester for the Prediction of Preeclampsia and Fetal Growth Retardation , 1994, Obstetrics and gynecology.

[10]  K. Nicolaides,et al.  Transvaginal Color Doppler Assessment of the Uteroplacental Circulation in Early Pregnancy , 1991, Obstetrics and gynecology.

[11]  A. H. Rosenthal,et al.  Postpartum hemorrhage. , 1950, American journal of surgery.