{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:43:39Z","timestamp":1780731819966,"version":"3.54.1"},"reference-count":0,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T00:00:00Z","timestamp":1542326400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T00:00:00Z","timestamp":1542326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gynecol Obstet Invest"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background\/Aims:&lt;\/i&gt;&lt;\/b&gt; Abnormally invasive placenta (AIP) includes placenta &lt;i&gt;accreta&lt;\/i&gt;, &lt;i&gt;increta&lt;\/i&gt;, and &lt;i&gt;percreta&lt;\/i&gt; and represents major complications of pregnancy. This study was designed to assess the role of ultrasonography in the identification of AIP among pregnant women with antepartum diagnosis of placenta &lt;i&gt;previa&lt;\/i&gt;. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; A cross-sectional study was performed between May 2015 and April 2016 in 11 centers, including 242 women with &lt;i&gt;antepartum&lt;\/i&gt; diagnosis of placenta &lt;i&gt;previa&lt;\/i&gt;. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; Ninety-eight out of 242 (40.49%) women had a histological diagnosis of placenta &lt;i&gt;accreta&lt;\/i&gt;. A higher number of caesarean deliveries (&lt;i&gt;p&lt;\/i&gt; = 0.001) and curettages (&lt;i&gt;p&lt;\/i&gt; = 0.027) and older age of the woman at the delivery (&lt;i&gt;p&lt;\/i&gt; = 0.031) were identified as risk factors for placenta &lt;i&gt;accreta&lt;\/i&gt;. The presence of irregularly shaped placental lacunae (vascular spaces) within the placenta (&lt;i&gt;p&lt;\/i&gt; = 0.008), protrusion of the placenta into the bladder (&lt;i&gt;p&lt;\/i&gt; &amp;#x3c; 0.0001), and turbulent blood flow through the lacunae on Doppler ultrasonography (&lt;i&gt;p&lt;\/i&gt; = 0.008) were predictors of placenta &lt;i&gt;accreta&lt;\/i&gt;. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Women with a prior delivery by caesarean section have a high incidence of placenta &lt;i&gt;accreta&lt;\/i&gt; among women with antepartum diagnosis of placenta &lt;i&gt;previa.&lt;\/i&gt;<\/jats:p>","DOI":"10.1159\/000494492","type":"journal-article","created":{"date-parts":[[2018,11,16]],"date-time":"2018-11-16T22:04:05Z","timestamp":1542405845000},"page":"242-247","source":"Crossref","is-referenced-by-count":8,"title":["Clinical and Ultrasound Predictors of Placenta Accreta in Pregnant Women with Antepartum Diagnosis of Placenta Previa: A Multicenter Study"],"prefix":"10.1159","volume":"84","author":[{"given":"Davide","family":"De\u00a0Vita","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5523-8943","authenticated-orcid":false,"given":"Giampiero","family":"Capobianco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Gerosolima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Sciorio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ermenegilda","family":"Coppola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Parazzini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Silvestri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna\u00a0Paola","family":"Caruso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maddalena","family":"Morlando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Petta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Pascarella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Dessole","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Viora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2018,11,16]]},"container-title":["Gynecologic and Obstetric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/494492","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/494492","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:04:59Z","timestamp":1745427899000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000494492"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,16]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,5,16]]},"published-print":{"date-parts":[[2019,5,21]]}},"URL":"https:\/\/doi.org\/10.1159\/000494492","archive":["Portico"],"relation":{},"ISSN":["0378-7346","1423-002X"],"issn-type":[{"value":"0378-7346","type":"print"},{"value":"1423-002X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,16]]}}}