Publications by authors named "R A Aryananda"
Article Synopsis
- The study aimed to distinguish between placenta accreta spectrum (PAS) and uterine-scar dehiscence using standardized ultrasound techniques, which is often difficult even for experts.
- A retrospective cohort study was conducted with women who had previous Cesarean deliveries and current pregnancies with low-lying placenta conditions, analyzing various ultrasound markers to classify cases of PAS and non-PAS.
- Out of 150 cases reviewed, 144 were included in the analysis, resulting in 89 PAS cases, 23 uterine-scar dehiscence cases, and 32 cases with uncomplicated low-lying placenta or placenta previa.
Objective: Management of patients with placenta accreta spectrum (PAS) by trained multidisciplinary teams is associated with improved outcomes. Ultrasound can predict intraoperative risks, but expert ultrasound imaging of PAS is often limited. Telemedicine is used increasingly in obstetrics, permitting expert consultation when essential resources are not available locally.
View Article and Find Full Text PDFIntroduction: Accurate discrimination between placenta accreta spectrum (PAS) and scar dehiscence with underlying non-adherent placenta is challenging both on prenatal ultrasound and intraoperatively. This can lead to overdiagnosis of PAS and unnecessarily aggressive management of scar dehiscence which increases the risk of morbidity. Several scoring systems have been published which combine clinical and ultrasound information to help diagnose PAS in women at high risk.
View Article and Find Full Text PDF