MODERN METHODS OF VISUALIZATION OF PATHOLOGICAL PLACENTATION

Abstract

The deterioration of the attachment of the placenta is associated with an increased risk of the development of its premature detachment, postpartum hemorrhages, intrauterine and intranatal fetal death. The fused placenta occurs approximately in 9% of women with placenta previa and in 0.004% of women without placenta previa. The timely made diagnosis of this pathologyis critically important for choosing the amount of surgical intervention for delivery, which is always associated with increased blood loss. This review examines issues of the diagnosis of placenta attachment. Data on advantages and disadvantages of ultrasound and MRI methods are given. The frequency of abnormal placentation is known to correlate with the increase in the number of surgical interventions on the uterus, in particular, the operation of cesarean section. In this regard, there is a need for accurate and early diagnosis of placenta attachment. Currently, the ultrasound method is leading in the detection this pathology, but this method has its drawbacks. In this review, the authors attempted to collect experience with the use of MRI for early diagnosis of abnormal placentation.