Diagnostic ultrasound to inform the surgical approach to cesarean delivery in patients at high risk for placenta accreta spectrum disorders
Comprehensive preoperative ultrasound can reasonably predict the appropriate surgical approach to placenta accreta spectrum. This can be achieved by assessing intracervical hypervascularity and urinary bladder wall distortion using a combination of transabdominal, transvaginal, and color Doppler ultrasound techniques because these signs have a strong correlation with the need for hysterectomy in a cohort for which the intended treatment was uterine-sparing surgery.
Authors
- Hans Duvekot
- Rozi Aditya Aryananda (ORCID: https://orcid.org/0000-0001-6674-7682)
- Heleen J. van Beekhuizen (ORCID: https://orcid.org/0000-0001-8899-7412)
- José M. Palacios‐Jaraquemada (ORCID: https://orcid.org/0000-0002-5240-5320)
- Conrado Milani Coutinho (ORCID: https://orcid.org/0000-0003-1966-0466)
- Grace Ariani (ORCID: https://orcid.org/0000-0003-2099-8915)
- Theophilus Adu–Bredu (ORCID: https://orcid.org/0000-0003-2365-6769)
- Albaro José Nieto‐Calvache (ORCID: https://orcid.org/0000-0001-5639-9127)
- Erry Gumilar Dachlan (ORCID: https://orcid.org/0000-0002-1194-0597)
- Savitree Pranpanus
- Clement Twumasi (ORCID: https://orcid.org/0000-0001-6817-8356)
- Bayu Priangga (ORCID: https://orcid.org/0000-0002-4487-7635)
- Cheria Valentina
- C. Lees (ORCID: https://orcid.org/0000-0002-2104-5561)
- Nareswari Cininta
- Qurrata Akyuni
Institutions
- Prince of Songkla University (TH)
- Imperial College Healthcare NHS Trust (GB)
- Universitas Airlangga (ID)
- University of Oxford (GB)
- Fundación Valle del Lili (CO)
- Queen Charlotte's and Chelsea Hospital (GB)
- Erasmus MC Cancer Institute (NL)
- Clinics Hospital of Ribeirão Preto (BR)
Publication Details
- Journal
- American Journal of Obstetrics and Gynecology
- Published
- 2025-08-08
- DOI
- https://doi.org/10.1016/j.ajog.2025.08.005
- Citations
- 8
- Primary Topic
- Maternal and fetal healthcare
- Type
- article
- Field-Weighted Citation Impact
- 27.95