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    Template New Report Akreta Update Eropa

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    Ayu Dyah Primaningrum
    This document is a placental mapping form for abnormally invasive placenta (AIP). It collects patient information and details the ultrasound findings based on both grayscale and Doppler parameters. These include features suggestive of myometrial thinning, bladder wall interruption, and placental lacunae with feeder vessels. 3D ultrasound may demonstrate the probability and extent of placental invasion. Based on the findings, an assessment of low, intermediate, or high suspicion of AIP is made, as well as the likely placental topography and uterine segment involvement.

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    Template New Report Akreta Update Eropa

    Uploaded by

    Ayu Dyah Primaningrum
    53 views1 page
    This document is a placental mapping form for abnormally invasive placenta (AIP). It collects patient information and details the ultrasound findings based on both grayscale and Doppler parameters. These include features suggestive of myometrial thinning, bladder wall interruption, and placental lacunae with feeder vessels. 3D ultrasound may demonstrate the probability and extent of placental invasion. Based on the findings, an assessment of low, intermediate, or high suspicion of AIP is made, as well as the likely placental topography and uterine segment involvement.

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    This document is a placental mapping form for abnormally invasive placenta (AIP). It collects patient information and details the ultrasound findings based on both grayscale and Doppler parameters. These include features suggestive of myometrial thinning, bladder wall interruption, and placental lacunae with feeder vessels. 3D ultrasound may demonstrate the probability and extent of placental invasion. Based on the findings, an assessment of low, intermediate, or high suspicion of AIP is made, as well as the likely placental topography and uterine segment involvement.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views1 page

    Template New Report Akreta Update Eropa

    Uploaded by

    Ayu Dyah Primaningrum
    This document is a placental mapping form for abnormally invasive placenta (AIP). It collects patient information and details the ultrasound findings based on both grayscale and Doppler parameters. These include features suggestive of myometrial thinning, bladder wall interruption, and placental lacunae with feeder vessels. 3D ultrasound may demonstrate the probability and extent of placental invasion. Based on the findings, an assessment of low, intermediate, or high suspicion of AIP is made, as well as the likely placental topography and uterine segment involvement.

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    Unit Ultrasonografi Obstetri dan Ginekologi

    Departemen / SMF Obstetri Ginekologi FK Unair – RSUD Dr. Soetomo


    Jl. Mayjen Prof. Dr. Moestopo No. 6 – 8

    PLACENTAL MAPPING OF ABNORMALLY INVASIVE PLACENTA (AIP)


    Name : Age : y.o. Medical Record:
    Date : _ _/ _ _/ _ _ _ _ Gestational age : _ _ weeks _ days
    Gravida _ Para _ - _ - _ - _ Mode of conception: Spontaneous IUI/ IVF
    Was Caesarean scar pregnancy suspected/ diagnosed in first trimester? Yes No Not know
    History of previous surgical evacuation (including TOP)/ curretage Yes No Not know
    History of Previous Placenta Previa Yes No Not know
    History of Abnormally Invasive Placenta (AIP) Yes No Not know
    Placenta previa on ultrasound Yes No Not know
    If yes: Anterior placenta previa <2 cm from internal os covering internal os
    Posterior placenta previa <2 cm from internal os covering internal os
    Cervical length (without funnel or placental tissue) mm
    Grayscale ultrasound parameters and
    Yes No Unsure
    definition
    Absent of retroplacental clear zone
    Myometrial thinning <1 mm
    Abnormal placental lacunae
    Bladder wall interruption
    Placental bulge
    Focal exophytic mass/ Placental tissue seen
    breaking through uterine serosa (filling bladder)
    Color Doppler ultrasound parameters and
    Yes No Unsure
    definition
    Uterovesical hypervascularity
    Subplacental hypervascularity
    Bridging vessel
    Placental lacunae feeder vessel
    Parametrial involvement Yes No Unsure
    Suspicion of invasion into parametrium
    3D Doppler Yes No Unsure
    Inseparable cotyledonal and intervillous
    circulations, chaotic branching, detour vessels
    (lateral view)
    3D Rendering ultrasound / Crystal vue Accreta Increta Percreta
    Probability topography placental invasion
    S1 S2 S1 – S2
    Placental invasion area
    3D Volume CT rendering
    Placental Mapping
    Right view Anterior view Left view

    Result
    Placental Topography Majority of Placental invasion
    High suspicious of diffuse AIP Accreta
    High suspicious of focal AIP Increta
    Intermediate suspicious of focal AIP Percreta
    Low suspicious of AIP
    Uterine Vascular Involvement : S1 segment S2 segment

    Terima Kasih atas konsulannya Nama Pemeriksaan (versi RSDS):


    Hormat Kami, USG evaluasi plasenta akreta 2D/3D/4D
    Nama Pemeriksaan (versi koding ICD):
    Diagnostic Ultrasound of gravid uterus / 88.78
    (mohon dituliskan di SEP pasien BPJS)
    Divisi Kedokteran Fetomaternal
    FK Unair – RSUD Dr. Soetomo Surabaya

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