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...

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Published inThe journal of obstetrics and gynaecology research Vol. 37; no. 8; pp. 1112 - 1116
Main Authors Dueñas‐Garcia, Omar Felipe, Diaz‐Sotomayor, Maricela, Rico‐Olvera, Hugo
Format Journal Article
LanguageEnglish
Published Melbourne, Australia Blackwell Publishing Asia 01.08.2011
Subjects
Adult
Chorionic Gonadotropin, beta Subunit, Human - blood
Doppler
Female
Humans
Live Birth
placenta accreta
Placenta Accreta - blood
Placenta Accreta - diagnostic imaging
Placenta Accreta - physiopathology
Placenta Accreta - therapy
Placental Circulation
Pregnancy
Prognosis
Pulsatile Flow
pulsatility index of the uterine arteries
Treatment Outcome
Ultrasonography, Prenatal
Uterine Artery - diagnostic imaging
Uterine Artery - physiopathology
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Summary: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.
Bibliography:Financial disclosure: None of the authors has any potential conflicts of interest to disclose.
Informed consent was obtained from the patients to publish their cases and the project was approved by the IRB/ethics committee of our institution.
The manuscript has not been published or submitted for publication elsewhere.
We also state that our study (case report) does not violate the policies and/or procedures established by the journal.
Presented: Winner of the Dan Roberts Award of the American College of Obstetricians and Gynecologists for the best poster presentation in the 2009 District VII & XI Annual Meeting, San Antonio, Texas, 9–11 October 2009.
The authors have not received any funding for this work and we acknowledge that we all contributed significantly as authors in the manuscript and also that we agree with the content of the same.
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ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2010.01466.x