Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 12 , ISSUE 3 ( May-June, 2020 ) > List of Articles

Original Article

Importance of Placental Sonogram in the First Trimester for Early Detection of Abnormal Placentation

Nishi Garg, Seema G Bhatti, Shivani Garg

Citation Information : Garg N, Bhatti SG, Garg S. Importance of Placental Sonogram in the First Trimester for Early Detection of Abnormal Placentation. J South Asian Feder Obs Gynae 2020; 12 (3):133-136.

DOI: 10.5005/jp-journals-10006-1783

License: CC BY-NC 4.0

Published Online: 10-02-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Introduction: Placental sonography is the study of placental location, placental attachment, size, shape, and structure of placenta. Generally, placental sonography is carried out in second trimester and onward and is generally missed in the first trimester. However, looking at the placenta and finding any abnormality in the attachment is highly important in the firsttrimester itself. Abnormalities like morbidly adherent placenta, cesarean scar pregnancy, etc., can be picked up on first trimester placental sonogram which can help us decide the patient management better. Aims and objectives: The purpose of this article is to establish the importance of diagnosis of abnormal placental attachment in the first trimester ultrasound so that: • Termination of pregnancy can be discussed with the patient. • To prepare for major complications like postpartum hemorrhage and peripartum hysterectomy if need arises. • Patient counseling regarding a high-risk pregnancy can be started at an early gestation. Materials and methods: In this retrospective study, we have discussed a few cases that visited IPD and OPD in GGS Medical College, where abnormal placental attachment and location was missed and which could have been diagnosed at an early scan to prevent such morbidity to the patient. Conclusion: With first trimester ultrasound, we can view into the early intrauterine environment. Examination of the placental morphology in the first trimester ultrasound to rule out placenta accreta, especially in high-risk patients, should be encouraged to improve patient education and choice and limit morbidity of this rising iatrogenic placental disorder.

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