Evaluación características operativas: ecografía 2D y Doppler color para diagnóstico de acretismo placentario, Clínica Universitaria Colombia, Bogotá

Abstract

Introduction: Placenta accreta is abnormally invasive placentation in uterine wall. It is present in 0.9 percent of total pregnancies; Now, is one of the most important causes of maternal morbi-mortality. Echography 2D and Doppler are diagnostic methods in a first and second line. Objective: To evaluate diagnostic utility of Echography 2D and Color Doppler for diagnosis of placenta accreta in woman pregnat with risk factors in comparison with clinical and histopathological diagnosis; and to determinate incidence of placenta accreta in consultant population at Clínica Universitaria Colombia. Material and Methods: Evaluation of diagnostic technologies. Between August to November of 2010 were included 53 pregnant women with 24 and 40 gestacional age with risk factors of placenta accreta. The diagnostic yield of each test will be present by sensitivity, specificity and positive and negative predictive values. The demographic characteristics of the patients and neonatal results were analized calculating proportion, media and range. Results: The incidence of placenta accreta was present in 4,54% of the patients with risk factors. Due to simple size at the mooment was imposible determine values of diagnostic yield. Only one case finished in histerectomy due to placenta accreta. Conclusion: With this preliminar data was found incidence of placenta accreta in 1 of 22 pregnant women. Review of cientific literatura support the necesity of prenatal diagnostic that have a profound impact in maternal and fetal morbimortality, making neccesary valid diagnostic evaluation of diagnostic tolos like Eco 2D and color Doppler color in risk population.