{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:14:43Z","timestamp":1770743683235,"version":"3.49.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"Abstract<\/jats:title>\n To evaluate the predictive role of fetal percentile\n for placental invasion anomalies in placenta previa cases. Study Design:\n Retrospective studyPlace & Duration of the Study: Training and Research\n Hospital, January 2018 and December 2023<\/jats:p>\n A total of 298 placenta previa cases was divided\n into two groups: PAS (placenta accreta spectrum)-positive placenta previa\n (n=98) and PAS-negative placenta previa (n=200). Then PAS-positive placenta\n previa cases were divided into two subgroups: placenta increta-accreta\n (n=59) and placenta percreta (n=39). Sociodemographic findings, obstetric\n features, fetal percentile measurements between 22 and 28 gestational weeks\n and perioperative characteristics of patients were recorded and compared\n between groups.<\/jats:p>\n Fetal percentile was significantly lower in\n PAS-positive placenta previa cases as compared to PAS-negative placenta\n previa cases (p<0.001). Moreover, fetal percentile\u226452.5 discriminated\n PAS-positive placenta previa cases from PAS-negative placenta previa cases\n with 75.51% sensitivity and 51.5% specificity (p<0.001, AUC=0.654). In\n multivariate analysis, a fetal percentile of 52.5 and below increased the\n risk of PAS by approximately 4 times (Hosmer\u2013Lemeshow p=0.101, model\n p<0.001). No significant difference was detected between placenta\n percreta and placenta accreta-increta groups in terms of fetal percentile\n (p=0.224).<\/jats:p>\n Fetal percentiles calculated between 22 and 28\n gestational weeks could discriminate PAS-positive placenta previa cases from\n PAS-negative placenta previa cases, although it had no role in\n discriminating placenta percreta from accreta and increta cases. Therefore,\n the evaluation of fetal percentile in placenta previa cases can be\n considered as a supportive finding in the prediction of invasion anomaly\n although it does not determine the depth of invasion.<\/jats:p>","DOI":"10.1055\/a-2607-8603","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T19:04:42Z","timestamp":1750100682000},"page":"30-36","source":"Crossref","is-referenced-by-count":0,"title":["The Predictive Role of Fetal Growth for Placental Invasion Anomalies in Placenta Previa"],"prefix":"10.1055","volume":"230","author":[{"given":"Evrim","family":"Koca","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Ministry of Health\n Gumushane State Hospital, Gumushane, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burcu","family":"Dincgez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences,\n Bursa Yuksek Ihtisas Research and Training Hospital, Bursa, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gulten","family":"Ozgen","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, University of Health Sciences, Bursa Yuksek\n Ihtisas Research and Training Hospital, Bursa, Turkey"},{"name":"Obstetrics and Gynecology, University of Health Sciences, Bursa Yuksek\n Ihtisas Research and Training Hospital, Bursa, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz","family":"Simsek","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Private Osmangazi Aritmi Hospital, Bursa,\n Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e59737","DOI":"10.7759\/cureus.59737","article-title":"Maternal and perinatal outcomes in placenta previa: A comprehensive review of\n 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Physicians Surg Pak"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1097\/OGX.0000000000001274","article-title":"Placenta accreta spectrum: A comprehensive review of guidelines","volume":"79","author":"S Giouleka","year":"2024","journal-title":"Obstet Gynecol Surv"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2043","DOI":"10.1007\/s43032-024-01491-1","article-title":"Shedding of syncytiotrophoblast-derived extracellular vesicles is increased in\n placenta previa and accreta spectrum","volume":"31","author":"C Tersigni","year":"2024","journal-title":"Reprod Sci"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1111\/1471-0528.12441","article-title":"Blood flow to the scarred gravid uterus at 22\u201324 weeks of gestation","volume":"121","author":"K Flo","year":"2014","journal-title":"BJOG"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1016\/j.placenta.2012.09.004","article-title":"Effects of local decidua on trophoblast invasion and spiral artery remodeling in\n focal placenta creta \u2013 an immunohistochemical study","volume":"33","author":"T Hannon","year":"2012","journal-title":"Placenta"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"330.e1","DOI":"10.1016\/j.ajog.2010.05.014","article-title":"Effect of placenta previa on fetal growth","volume":"203","author":"L M Harper","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1002\/ijgo.14399","article-title":"Placenta accreta spectrum ultrasound stage and fetal growth","volume":"160","author":"H C Bartels","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1515\/jpm-2024-0290","article-title":"Evaluation of fetal growth and birth weight in pregnancies with placenta previa\n with and without placenta accreta spectrum","volume":"53","author":"N Agarwal","year":"2025","journal-title":"J Perinat Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1073","DOI":"10.1038\/jp.2016.140","article-title":"The effect of placenta previa on fetal growth and pregnancy outcome, in\n correlation with placental pathology","volume":"36","author":"E Weiner","year":"2016","journal-title":"J Perinatol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1002\/uog.20244","article-title":"Impact of placenta previa with placenta accreta spectrum disorder on fetal\n growth","volume":"54","author":"E Jauniaux","year":"2019","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1426593","DOI":"10.3389\/fcvm.2024.1426593","article-title":"Advanced magnetic resonance imaging in human placenta: insights into fetal\n growth restriction and congenital heart disease","volume":"11","author":"E Sadiku","year":"2024","journal-title":"Front Cardiovasc Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1515\/jpm-2019-0116","article-title":"Placenta previa and the risk of intrauterine growth restriction (IUGR): a\n systematic review and meta-analysis","volume":"47","author":"J Balayla","year":"2019","journal-title":"J Perinat Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1016\/s0029-7844(01)01413-2","article-title":"Relationship among placenta previa, fetal growth restriction, and preterm\n delivery: a population-based study","volume":"98","author":"C V Ananth","year":"2001","journal-title":"Obstet Gynecol"},{"key":"ref17","first-page":"741","article-title":"Fetal umbilical velocimetry for the surveillance of pregnancies complicated by\n placenta previa","volume":"33","author":"H S Brar","year":"1988","journal-title":"J Reprod Med"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s00404-012-2296-4","article-title":"Effect of placenta previa on fetal growth restriction and stillbirth","volume":"286","author":"A O Yeniel","year":"2012","journal-title":"Arch Gynecol Obstet"},{"key":"ref19","first-page":"707","article-title":"Placenta previa is not an independent risk factor for a small for gestational\n age infant","volume":"77","author":"E J Wolf","year":"1991","journal-title":"Obstet Gynecol"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1055\/s-0042-1757261","article-title":"The association between placenta accreta spectrum severity and incidence of\n small for gestational age neonates","volume":"40","author":"S E Detlefs","year":"2023","journal-title":"Am J Perinatol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und 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