Ann Gynecol Obstetr Res | Volume 3, Issue 1 | Research Article | Open Access
Sarma N Lumbanraja1*, M Rizky Yaznil1 and Andre M Siahaan2
1Department of Obstetrics and Gynecology, University of Sumatera Utara, Indonesia 2Department of Neurosurgery, University of Sumatera Utara, Indonesia
*Correspondance to: Sarma N LumbanrajaFulltext PDF
Purpose: Placenta Accreta Spectrum (PAS) is a general term used to describe the invasion of abnormal trophoblasts into the myometrium of the uterine wall. Ultrasound examination with PAS score is currently one of the modalities in determining the degree of invasion of the placenta. We tried to assess the effectiveness of the USG-based PAS score compared to the placenta accreta spectrum classification based on FIGO at the time of surgery. Methods: This study involved 40 samples who had been diagnosed as placenta accreta spectrum disorder at RSUP Haji Adam Malik Medan. Samples were collected by consecutive sampling. The PAS value of USG was compared with the PAS FIGO classification at the time of operation. Analyzes were performed by Chi-square based test, Fisher exact test, using SPSS version 25, with a P value <0.05 was considered statistically significant (95% CI). Results: The correlation between PAS and FIGO scores in PASD patients was included in the weak relationship category based on the correlation test spearmen (r=0.223). In the test chi square found the value of p=0.29 (p>0.05) were not found a significant relationship between PAS and FIGO scores in patients PASD. Conclusion: The correlation score of PAS and FIGO PASD patients included in the category of relationship with a sensitivity of 46%, specificity 75%, PPV 81.2%, NPV 37.5%.
Placenta accrete; Pregnancy; FIGO; PAS score
Lumbanraja SN, Yaznil MR, Siahaan AM. The Effectiveness of the USG PAS Score in Detecting the Outcome of the Plasenta Acreta Spectrum. Ann Gynecol Obstetr Res. 2020; 3(1): 1018.