{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T09:35:44Z","timestamp":1748511344200},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2002To design an ultrasound scoring model for the prediction of the intrapartum morbidly adherent placenta (MAP) and maternal morbidity.<\/jats:p><jats:p>\n          Patients and Methods\u2002114 females with singleton pregnancies \u2265\u200a28 weeks of gestation referred for suspicion of MAP were included. All patients underwent examination by two-dimensional ultrasound with the color Doppler setting. Five signs were evaluated: the retroplacental echolucent space, placental lacunae, the hyperechoic uterine-bladder interface, retroplacental myometrium thickness, and subplacental, uterine serosa-bladder wall, intraplacental and bladder wall vascularity. We designed a score ranging from 0\u20138.5 points, including the five signs according to their odds ratios and evaluated its prediction for MAP and maternal morbidity.<\/jats:p><jats:p>\n          Results\u2002Using multivariate logistic regression, all ultrasound signs were significant dependent predictors for both MAP and maternal morbidity (myometrium thickness &lt;\u200a1\u200amm followed by lacunae \u2265\u200a4 and lost retroplacental echolucent space). The only independent predictors for MAP were myometrium thickness &lt;\u200a1\u200amm and lacunae \u2265\u200a4, while myometrium thickness &lt;\u200a1\u200amm and lost retroplacental echolucent space were predictive for maternal morbidity. The score showed a perfect agreement with MAP and a good one for maternal morbidity.<\/jats:p><jats:p>\n          Conclusion\u2002Application of the score we designed can improve the ultrasound diagnosis of MAP and the maternal outcome.<\/jats:p>","DOI":"10.1055\/a-0891-0772","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T22:42:47Z","timestamp":1562020967000},"page":"e1-e8","source":"Crossref","is-referenced-by-count":4,"title":["An Ultrasound Scoring Model for the Prediction of Intrapartum Morbidly Adherent Placenta and Maternal Morbidity: A Cross-Sectional Study"],"prefix":"10.1055","volume":"42","author":[{"given":"Dahlia O.","family":"El-Haieg","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia M.","family":"Madkour","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Abd Alkhalik","family":"Basha","sequence":"additional","affiliation":[{"name":"Radiology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reda A.","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somayya M.","family":"Sadek","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safaa A.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hoda","family":"Sibai","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Entesar R.","family":"Mahdy","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasha R.","family":"Abd Elhady","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynecology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elshaimaa Mohamed","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Radiology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai E. M.","family":"Khamis","sequence":"additional","affiliation":[{"name":"Radiology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taghreed M.","family":"Azmy","sequence":"additional","affiliation":[{"name":"Radiology, Zagazig-University-Faculty of Human Medicine, Zagazig, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1053\/plac.2001.0764","article-title":"Pla\u00e7enta accrete \u2013 summary of 10 years: a survey of 110 cases","volume":"23","author":"Y Gielchimsky","year":"2002","journal-title":"Placenta"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.ajog.2010.09.013","article-title":"Placenta accreta","volume":"203","author":"Publications Committee. Society for Maternal-Fetal Medicine, Belfort MA","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1016\/j.ajog.2004.12.074","article-title":"Abnormal placentation: twenty-year analysis","volume":"192","author":"S Wu","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","first-page":"136","article-title":"Diagnosis of placenta accreta by ultrasonography: a \u201cgold standard\u201d? Diagn\u00f3stico de placenta accreta por ecografia: \u201cgold standard\u201d?","volume":"8","author":"C Nunes","year":"2014","journal-title":"Acta Obstet Ginecol Port"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/j.ajog.2005.06.037","article-title":"Placenta previa-accreta, risk factors and complications","volume":"193","author":"I M Usta","year":"2005","journal-title":"Am J Obstet Gynecol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"177\u2013e1","DOI":"10.1016\/j.ajog.2014.03.029","article-title":"Accuracy of ultrasound for the prediction of placenta accreta","volume":"211","author":"A G Eller","year":"2014","journal-title":"American journal of obstetrics and gynecology"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.ajog.2016.07.044","article-title":"Accreta placentation: a systematic review of prenatal ultrasound imaging and grading of villous invasiveness","volume":"215","author":"E Jauniaux","year":"2016","journal-title":"American journal of obstetrics and gynecology"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"333","DOI":"10.7863\/jum.1992.11.7.333","article-title":"Placenta accreta: prospective sonographic diagnosis in patients with placenta previa and prior cesarean section","volume":"11","author":"H J Finberg","year":"1992","journal-title":"Journal of Ultrasound in Medicine"},{"key":"ref9","first-page":"330","article-title":"Color flow mapping for myometrium invasion in women with a prior cesarean delivery","volume":"9","author":"D M Twickler","year":"2000","journal-title":"Journal of Maternal-Fetal Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1002\/uog.12385","article-title":"Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta","volume":"41","author":"G Cal\u00ec","year":"2013","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1002\/uog.2797","article-title":"Sonographic findings of placental lacunae and the prediction of adherent placenta in women with placenta previa totalis and prior Cesarean section","volume":"28","author":"J I Yang","year":"2006","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.ejogrb.2014.06.030","article-title":"A combined ultrasound and clinical scoring model for the prediction of peripartum complications in pregnancies complicated by placenta previa","volume":"180","author":"S Y Yeon","year":"2014","journal-title":"European Journal of Obstetrics & Gynecology and Reproductive Biology"},{"key":"ref13","first-page":"193","article-title":"A new perspective on best transfusion practices","volume":"11","author":"A Shander","year":"2013","journal-title":"Blood Transfusion"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1097\/PGP.0000000000000250","article-title":"Histopathology of Placenta Creta. Chorionic Villi Intrusion into Myometrium Vascular Spaces and Extravillous Trophoblast Proliferation are Frequent and Specific Findings with Implications for Diagnosis and Pathogenesis","volume":"35","author":"C Parra-Herran","year":"2016","journal-title":"International Journal of Gynecological Pathology"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.ajog.2003.11.024","article-title":"Sonographic detection of placenta accreta in the second and third trimesters of pregnancy","volume":"190","author":"C H Comstock","year":"2004","journal-title":"American journal of obstetrics and gynecology"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1002\/pd.2833","article-title":"Ultrasonographic findings of placenta lacunae and a lack of a clear zone in cases with placenta previa and normal placenta","volume":"31","author":"S Hamada","year":"2011","journal-title":"Prenatal Diagnosis"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ajog.2017.02.050","article-title":"Prenatal ultrasound diagnosis and outcome of placenta previa accreta after cesarean delivery. A systematic review and meta-analysis","volume":"217","author":"E Jauniaux","year":"2017","journal-title":"American journal of obstetrics and gynecology"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"2422","DOI":"10.1080\/14767058.2016.1252744","article-title":"Another look at ultrasound and magnetic resonance imaging for diagnosis of placenta accreta","volume":"30","author":"N E Budorick","year":"2017","journal-title":"The Journal of Maternal-Fetal & Neonatal Medicine"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1002\/uog.15813","article-title":"Prediction of morbidly adherent placenta using a scoring system","volume":"48","author":"J Tovbin","year":"2016","journal-title":"Ultrasound in Obstetrics & Gynecology"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"561","DOI":"10.7863\/ultra.34.4.561","article-title":"A novel sonographic scoring system for antenatal risk assessment of obstetric complications in suspected morbidly adherent placenta","volume":"34","author":"Y Gilboa","year":"2015","journal-title":"Journal of Ultrasound in Medicine"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"343\u2013e1","DOI":"10.1016\/j.ajog.2014.10.022","article-title":"Ultrasound predictors of placental invasion: The Placenta Accreta Index","volume":"212","author":"M W Rac","year":"2015","journal-title":"American journal of obstetrics and gynecology"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"S133","DOI":"10.1016\/j.ajog.2016.11.114","article-title":"209: Validation of the Placenta Accreta Index (PAI): Improving the antenatal diagnosis of the morbidly adherent placenta","volume":"216","author":"T Nelson","year":"2017","journal-title":"American Journal of Obstetrics & Gynecology"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.7863\/ultra.15.07040","article-title":"Magnetic Resonance Imaging and Sonography in the Diagnosis of Placental Invasion","volume":"35","author":"P Balcacer","year":"2016","journal-title":"Journal of Ultrasound in Medicine"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"618\u2013e1","DOI":"10.1016\/j.ajog.2018.03.013","article-title":"Magnetic resonance imaging is often misleading when used as an adjunct to ultrasound in the management of placenta accreta spectrum disorders","volume":"218","author":"B D Einerson","year":"2018","journal-title":"American journal of obstetrics and gynecology"}],"container-title":["Ultraschall in der Medizin - European Journal of Ultrasound"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0891-0772.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T23:48:36Z","timestamp":1612309716000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0891-0772"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,1]]},"references-count":24,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,2,2]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0891-0772","relation":{},"ISSN":["0172-4614","1438-8782"],"issn-type":[{"value":"0172-4614","type":"print"},{"value":"1438-8782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,1]]}}}