Academic Journal
Complete Placenta Previa: Ultrasound Biometry and Surgical Outcomes
| العنوان: | Complete Placenta Previa: Ultrasound Biometry and Surgical Outcomes |
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| المؤلفون: | Alison C. Wortman, Stephanie L. Schaefer, Donald D. McIntire, Jeanne S. Sheffield, Diane M. Twickler |
| المصدر: | American Journal of Perinatology Reports, Vol 08, Iss 02, Pp e74-e78 (2018) |
| بيانات النشر: | Thieme Medical Publishers, Inc., 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | ultrasound, placenta previa, placental extension, surgical outcomes, central previa, Gynecology and obstetrics, RG1-991 |
| الوصف: | Abstract Objective To evaluate the relationship between surgical outcomes and ultrasound measurement of placental extension beyond the cervical os in women with placenta previa. Study Design This is a retrospective cohort study of singleton pregnancies with placenta previa undergoing third-trimester ultrasound and delivering at our institution from 2002 through 2011. For study purposes, an investigator measured placental extension, defined as the placental distance from the internal os across the placenta continuing out to the lowest placental edge. If morbidly adherent placentation was suspected, women were excluded. Receiver operating characteristic (ROC) curves were developed for pertinent surgical outcomes, and multivariate analysis was performed to determine the placental extension with the best predictive discriminatory zone. Results In total, 157 women had placenta previa, ultrasound, and delivery data: 86 (55%) had a placental extension of 2,000 mL, blood transfusion, and rate of peripartum hysterectomy. After multivariate analysis, only peripartum hysterectomy and surgical time > 90 minutes remained significant, p ≤ 0.05 and p ≤ 0.01, respectively. Conclusion In women with placenta previa, the placental extension ultrasound measurement of ≥40 mm is a predictor of adverse surgical outcomes. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2157-6998 2157-7005 |
| Relation: | https://doaj.org/toc/2157-6998; https://doaj.org/toc/2157-7005 |
| DOI: | 10.1055/s-0038-1641163 |
| URL الوصول: | https://doaj.org/article/bf5fc27e372f44eca17f16b66262a040 |
| رقم الانضمام: | edsdoj.bf5fc27e372f44eca17f16b66262a040 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21576998 21577005 |
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| DOI: | 10.1055/s-0038-1641163 |