keyword
https://read.qxmd.com/read/38536029/a-vaginal-birth-is-a-cost-reduction-strategy-for-women-with-a-low-lying-placenta
#1
JOURNAL ARTICLE
Elisabetta Colciago, Pietro Ferrara, Isadora Vaglio Tessitore, Lorenzo G Mantovani, Patrizia Vergani, Sara Ornaghi
BACKGROUND: Alongside health consequences, cesarean delivery (CD) has been associated with increased healthcare resource utilization (HCRU). A CD should be performed in case of placenta previa; in turn, the most appropriate mode of birth in women with a low-lying placenta (LLP) is still controversial. Since no previous data are available on the topic, the aim of this study was to evaluate the HCRU and economic impact on the Italian HC system of vaginal birth (VB) and CD in women with a LLP...
March 27, 2024: Minerva obstetrics and gynecology
https://read.qxmd.com/read/38503816/risk-factors-for-placenta-accreta-spectrum-disorders-in-women-with-any-prior-cesarean-and-a-placenta-previa-or-low-lying-a-prospective-population-based-study
#2
JOURNAL ARTICLE
Gilles Kayem, Aurélien Seco, Francoise Vendittelli, Catherine Crenn Hebert, Corinne Dupont, Bernard Branger, Cyril Huissoud, Jeanne Fresson, Norbert Winer, Bruno Langer, Patrick Rozenberg, Olivier Morel, Marie Pierre Bonnet, Franck Perrotin, Elie Azria, Lionel Carbillon, Coralie Chiesa, Pierre Raynal, René Charles Rudigoz, Sophie Patrier, Gaël Beucher, Michel Dreyfus, Loïc Sentilhes, Catherine Deneux-Tharaux
This study aimed to identify the risk factors for placenta accreta spectrum (PAS) in women who had at least one previous cesarean delivery and a placenta previa or low-lying. The PACCRETA prospective population-based study took place in 12 regional perinatal networks from 2013 through 2015. All women with one or more prior cesareans and a placenta previa or low lying were included. Placenta accreta spectrum (PAS) was diagnosed at delivery according to standardized clinical and histological criteria. Of the 520,114 deliveries, 396 fulfilled inclusion criteria; 108 were classified with PAS at delivery...
March 19, 2024: Scientific Reports
https://read.qxmd.com/read/38494071/vasa-previa-in-singleton-pregnancies-diagnosis-and-clinical-management-based-on-an-international-expert-consensus
#3
JOURNAL ARTICLE
Yinka Oyelese, Ali Javinani, Brittany Gudanowski, Eyal Krispin, Andrei Rebarber, Ranjit Akolekar, Val Catanzarite, Rohan D'Souza, Richard Bronsteen, Anthony Odibo, Matthias A Scheier, Junichi Hasegawa, Eric Jauniaux, Christoph Lees, Deepa Srinivasan, Elizabeth Daly-Jones, Gregory Duncombe, Yaacov Melcer, Ron Maymon, Robert Silver, Federico Prefumo, Daisuke Tachibana, Wolfgang Henrich, Robert Cincotta, Scott A Shainker, Angela C Ranzini, Ashley S Roman, Ramen Chmait, Edgar A Hernandez-Andrade, Daniel L Rolnik, Waldo Sepulveda, Alireza A Shamshirsaz
BACKGROUND: There are limited data to guide the diagnosis and management of vasa previa. Currently, what is known is largely based on case reports or series and cohort studies. OBJECTIVE: (s): To systematically collect and classify expert opinions and achieve consensus on the diagnosis and clinical management of vasa previa using focus group discussions (FGD) and a Delphi technique. STUDY DESIGN: A four-round FGD and a three-round Delphi survey of an international panel of experts on vasa previa were conducted...
March 15, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38460827/three-dimensional-volume-rendering-ultrasound-for-assessing-placenta-accreta-spectrum-severity-and-discriminating-it-from-simple-scar-dehiscence
#4
JOURNAL ARTICLE
Theophilus K Adu-Bredu, Robert Ridwan, Aditiawarman Aditiawarman, Grace Ariani, Sally L Collins, Rozi A Aryananda
BACKGROUND: Prenatal ultrasound discrimination between Placenta Accreta Spectrum (PAS) and scar dehiscence with underlying non-adherent placenta is challenging both prenatally and intraoperatively which often leads to overtreatment. Also, accurate prenatal prediction of surgical difficulty and morbidity in PAS is difficult which precludes appropriate multidisciplinary planning. The advent of advanced three-dimensional volume rendering and contrast enhancement techniques in modern ultrasound systems provides a comprehensive prenatal assessment, revealing details that are not discernible in traditional 2D imaging...
March 7, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38243910/evaluation-of-preoperative-ultrasound-signs-associated-with-bladder-injury-during-complex-cesarean-delivery-a-case-control-study
#5
JOURNAL ARTICLE
A M Hussein, M M Thabet, R A Elbarmelgy, R M Elbarmelgy, E Jauniaux
OBJECTIVES: Intraoperative hemorraghe and peripartum hysterectomy are the main complications in patients presenting with a low-lying or placenta previa undergoing repeat cesarean delivery. Patients with a high probability of placenta accreta spectrum (PAS) at birth also have a higher risk of intraoperative urologic injuries and the aim of this study was to evaluate the ultrasound signs and intraoperative features associated with these injuries. METHODS: This was a retrospective case-control study of consecutive singleton pregnancies included in a prospective cohort of patients with a history of at least one prior cesarean delivery (CD) and were diagnosed prenatally with an anterior low-lying or placenta previa at 32-36 weeks...
January 20, 2024: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/38158860/relationship-between-placental-location-and-fetal-gender-using-ultrasonography-a-prospective-study-from-the-maternity-and-children-s-hospital-najran-saudi-arabia
#6
JOURNAL ARTICLE
Nagla H M Khalid, Jihan I Babiker, Samia A Fathelrahman
The study was a prospective cross-sectional design and was carried out at the Maternity and Children's Hospital in Najran, Saudi Arabia on 142 pregnant women . The objective of the study was to establish, utilising ultrasound scan , whether there is any link between the site of the placenta and the gender of the fetus. A higher percentage of female fetuses were identified. The majority of placentas (73, 51.4%) were found to be anterior, of which 66 (46.5%) and 7 (4.9%) were present in female and male fetuses, respectively...
December 31, 2023: African Journal of Reproductive Health
https://read.qxmd.com/read/38072834/increased-risk-of-placenta-previa-and-preterm-birth-in-pregnant-women-with-endometriosis-adenomyosis-a-propensity-score-matching-analysis-of-a-nationwide-perinatal-database-in-japan
#7
JOURNAL ARTICLE
Kosuke Kato, Takayuki Iriyama, Konan Hara, Kensuke Suzuki, Ayako Hashimoto, Seisuke Sayama, Mari Ichinose, Masatake Toshimitsu, Takahiro Seyama, Kenbun Sone, Keiichi Kumasawa, Takeshi Nagamatsu, Yasushi Hirota, Kaori Koga, Yutaka Osuga
AIM: We aimed to investigate the associations of endometriosis and adenomyosis with pregnancy complications by using a large-scale Japanese database. METHODS: We retrospectively analyzed 145 590 singleton pregnancies from the Japan Perinatal Registry Network Database. Pregnant women registered as having endometriosis or adenomyosis were designated as the case group (EA), whereas the control group (non-EA) was selected using propensity-score matching adjusted for variables such as age, parity, BMI, smoking history, and the use of assisted reproductive technology...
December 10, 2023: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/37946796/type-3-vasa-previa-with-no-low-lying-placenta-with-central-umbilical-cord-insertion-at-the-upper-uterine-segment-and-with-aberrant-vessels-on-the-broad-membrane-a-case-report
#8
Michihisa Shiro, Masumi Kiyose, Yukiko Suzuki, Yuka Sano, Shota Ikagawa, Shigeki Yoshida
Type 3 vasa previa is a new concept. Herein, a case is reported of a 35-year-old woman, pregnant following in vitro fertilization, in whom vasa previa was detected on color Doppler ultrasound at 26 weeks, with no finding of a low-lying placenta. A cesarean section was performed at 34 weeks and 3 days. Gross examination of the placenta showed Type 3 vasa previa with findings somewhat different from previous reports: two aberrant fetal vessels with branching on the broad membrane, and central cord insertion which was farther from the longitudinal center of the placenta than were the running vessels on the membrane...
December 2023: Case Reports in Women's Health
https://read.qxmd.com/read/37924943/accuracy-of-ultrasound-in-the-prediction-of-the-figo-classification-of-placenta-accreta-spectrum
#9
JOURNAL ARTICLE
Mohamed Taman, Doaa Mosad Mosa, Hatem Abo Hashem, Khalid Samir, Eman M Ibrahim, Ahmed Abdelbar, Abdalla Mousa, Maher Elesawi
OBJECTIVES: To evaluate the accuracy of grey-scale ultrasound and colour Doppler detecting placenta accreta spectrum (PAS) based on the newly recommended International Federation of Obstetrics and Gynaecology (FIGO) grading system. METHODS: This prospective study was conducted on women diagnosed with placenta previa or low-lying placenta involving the anterior uterine wall and associated with PAS as identified by the ultrasound (US). Transabdominal and transvaginal grey-scale US was performed at admission between 34 and 36 weeks of gestation and compared to clinical grading and histopathological examination after cesarean hysterectomy...
November 2, 2023: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/37829600/can-the-pfannenstiel-skin-incision-length-be-adjusted-according-to-the-fetal-head-during-elective-cesarean-delivery
#10
JOURNAL ARTICLE
Baris Kaya, Ozlen Emekci Ozay, Ali Cenk Ozay, Abdullah Tüten
OBJECTIVE: The study aims to determine whether the Pfannenstiel skin incision can be adjusted according to the fetal head's occipitofrontal diameter (OFD) during primary cesarean delivery. BACKGROUND: Eligible 114 nulliparous women delivered at term by cesarean section in which Pfannenstiel skin incision was performed according to the OFD of the fetal head between June 2017 and September 2021 were included. Excluded cases were non-vertex presentations, all emergency cesarean sections, severe preeclampsia, women in an active phase of the first stage of labor and second stage of labor, placenta previa and low-lying placenta, multiple pregnancies, and uncontrolled gestational diabetes mellitus...
2023: Frontiers in Surgery
https://read.qxmd.com/read/37751635/management-of-threatened-abortion-through-ayurvedic-intervention-a-case-report
#11
Anuradha Roy, Binay Sen, Monisha Vm
Untreated vaginal bleeding during pregnancy can potentially give rise to various complications, with the incidence ranging from 12% to 40% of all cases. In Ayurveda, this condition is referred to as garbhashrava, which encompasses the manifestation of abortion, with raktadarshana (vaginal bleeding) serving as a key diagnostic symptom. In this present case study, 28 years old second gravida woman with amenorrhea of 3 months 08 days presented with vaginal bleeding (1 pad/day) for 15 days on and off. The case was diagnosed as first-trimester vaginal bleeding due to low-lying posterior placenta (placental cause)...
September 24, 2023: Journal of Ayurveda and Integrative Medicine
https://read.qxmd.com/read/37719100/a-risk-factor-profile-for-placenta-accreta-spectrum-in-pregnancies-conceived-with-assisted-reproductive-technology
#12
JOURNAL ARTICLE
Daniela A Carusi, Daksha Gopal, Howard J Cabral, Catherine Racowsky, Judy E Stern
OBJECTIVE: To identify independent risk factors for placenta accreta spectrum among pregnancies conceived with assisted reproductive technology. DESIGN: Retrospective cohort study. SETTING: Tertiary hospital. PATIENTS: Individuals who conceived with assisted reproductive technology and reached 20 weeks' gestation or later from 2011 to 2017. INTERVENTIONS: Patient and cycle data was abstracted from hospital records and supplemented with state-level data...
September 2023: F&S reports
https://read.qxmd.com/read/37698306/determinants-of-emergency-delivery-in-pregnancies-complicated-by-placenta-previa-or-placenta-accreta-spectrum-disorders-analysis-of-adopad-cohort
#13
JOURNAL ARTICLE
A Lucidi, N Fratelli, C Maggi, C Cavalli, A Sciarrone, D Buca, A Garofalo, E Viora, P Vergani, S Ornaghi, M Betti, I Vaglio Tessitore, A F Cavaliere, S Buongiorno, A Vidiri, E Fabbri, E Ferrazzi, V Maggi, I Cetin, T Frusca, T Ghi, C Kaihura, E Di Pasquo, T Stampalija, C Belcaro, M Quadrifoglio, M Veneziano, F Mecacci, S Simeone, A Locatelli, S Consonni, N Chianchiano, F Labate, G Calcagno, A Cromi, E Bertucci, F Facchinetti, G A Giuliani, A Fichera, D Granata, F Foti, L Avagliano, G P Bulfamante, A Khalil, M E Flacco, L Manzoli, F Prefumo, G Calì, F D'Antonio
OBJECTIVES: To report the rate and the outcomes of unplanned caesarean delivery (CD) delivery in women with placenta accreta spectrum disorders (PAS) and placenta previa without PAS, and to elucidate the diagnostic accuracy of ultrasound in predicting this outcome. METHODS: Secondary analysis of a multicenter prospective study involving 14 referral hospital in Italy (ADoPAD Study). Inclusion criteria were women with a low-lying placenta (< 20 mm from the internal cervical os) or placenta previa (covering the os), aged ≥ 18 years, who underwent trans-abdominal and transvaginal ultrasound assessment at ≥ 26 + 0 weeks of gestation...
September 12, 2023: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/37673791/prophylactic-radiologic-interventions-to-reduce-postpartum-hemorrhage-in-women-with-risk-factors-for-placenta-accreta-spectrum-disorder-a-nationwide-cohort-study
#14
JOURNAL ARTICLE
Lisanne R Bonsen, Valerie Harskamp, Sana Feddouli, Kitty W M Bloemenkamp, Johannes J Duvekot, Aad Pors, Jos van Roosmalen, Joost J Zwart, Jan M M van Lith, Joris Hendriks, Thijs A J Urlings, Thomas van den Akker, Johanna G van der Bom, Dacia D C A Henriquez
OBJECTIVE: To quantify the association between prophylactic radiologic interventions and perioperative blood loss in women with risk factors for placenta accreta spectrum disorder (PAS). METHODS: We conducted a retrospective nationwide cohort study of women with risk factors for placenta accreta spectrum disorder who underwent planned cesarean section in 69 Dutch hospitals between 2008 and 2013. All women had two risk factors for PAS: placenta previa/anterior low-lying placenta and a history of cesarean section(s)...
December 2023: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/37633887/uterus-preserving-surgical-management-of-placenta-accreta-spectrum-disorder-a-large-retrospective-study
#15
JOURNAL ARTICLE
Wenxia Pan, Juan Chen, Yinrui Zou, Kun Yang, Qingfeng Liu, Meiying Sun, Dan Li, Ping Zhang, Shixia Yue, Yuqiang Huang, Zhaoxi Wang
BACKGROUND: The two-child policy implemented in China resulted in a surge of high-risk pregnancies among advanced maternal aged women and presented a window of opportunity to identify a large number of placenta accreta spectrum (PAS) cases, which often invoke severe blood loss and hysterectomy. We thus had an opportunity to evaluate the surgical outcomes of a unique conservative PAS management strategy for uterus preservation, and the impacts of magnetic resonance imaging (MRI) in PAS surgical planning...
August 26, 2023: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/37590981/vasa-previa
#16
JOURNAL ARTICLE
Yinka Oyelese, Ali Javinani, Alireza A Shamshirsaz
Vasa previa refers to unprotected fetal vessels running through the membranes over the cervix. Until recently, this condition was associated with an exceedingly high perinatal mortality rate attributable to fetal exsanguination when the membranes ruptured. However, ultrasonography has made it possible to diagnose the condition prenatally, allowing cesarean delivery before labor or rupture of the membranes. Several recent studies have indicated excellent outcomes with prenatally diagnosed vasa previa. However, outcomes continue to be dismal when vasa previa is undiagnosed before labor...
September 1, 2023: Obstetrics and Gynecology
https://read.qxmd.com/read/37543142/assessment-of-placenta-accreta-spectrum-at-vaginal-birth-after-cesarean-delivery
#17
JOURNAL ARTICLE
Shinya Matsuzaki, Alesandra R Rau, Rachel S Mandelbaum, Amin Tavakoli, Genevieve R Mazza, Joseph G Ouzounian, Koji Matsuo
BACKGROUND: Prior cesarean delivery is a risk factor for developing placenta accreta spectrum (PAS) in a subsequent pregnancy and patients with antenatally suspected PAS frequently undergo planned cesarean hysterectomy. There is a paucity of data regarding unsuspected PAS among patients undergoing trial of labor after cesarean for attempted vaginal birth after cesarean delivery (VBAC). OBJECTIVE: The purpose of this study was to investigate the incidence, characteristics, and delivery outcomes of patients with PAS diagnosed at the time of VBAC...
August 3, 2023: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/37470694/prenatal-diagnosis-and-postnatal-outcome-of-type-iii-vasa-previa-systematic-review-of-literature
#18
REVIEW
M Pozzoni, C Sammaria, R Villanacci, C Borgese, F Ghisleri, A Farina, M Candiani, P I Cavoretto
OBJECTIVE: Vasa previa (VP) is a condition characterized by fetal blood vessels located on the amniotic membranes and outside the placenta, within 2 cm from internal os. The most common forms of VP are associated to velamentous cord insertion (type I) or to bilobed-succenturiate placenta (type II), located across the cervix. A rare form of VP, not necessarily associated to other placental or vascular anomalies, involves aberrant vessels running from the placenta to the amniotic membranes, nearby the internal os, and then turning back to the placenta (type III)...
July 20, 2023: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/37368945/asymptomatic-39-weeks-abdominal-pregnancy-video-report-of-a-case-occurred-in-ivory-coast-resulting-in-a-live-birth
#19
JOURNAL ARTICLE
Pietro Iovenitti, Valentina Galiano, Andrea Finco, Francesca Tiberio, Okon Gerard, Emanuele Garzia, Privat Guie
BACKGROUND: Despite the current advances in antenatal care and imaging methodologies in obstetrics, cases of advanced abdominal pregnancies are still reported, mostly in low- and middle-income countries where frequently only a few perinatal checks are performed and where these methodologies are sometimes not adopted in obstetrical outpatient settings. CASE PRESENTATION: We report the video of a case of a 20-year-old I gravida Ivorian patient, sent to CHU de T reichville in Abidjan, Ivory Coast, for management of abdominal 39 weeks pregnancy after routine antenatal care...
June 1, 2023: Journal of mother and child
https://read.qxmd.com/read/37268733/extreme-caution-needed-during-cesarean-section-due-to-complicated-fetal-membrane-vascular-course-in-vasa-previa-without-accessory-or-low-lying-placenta
#20
JOURNAL ARTICLE
Miho Matsushima, Atsushi Tajima, Aya Kitamura, Satoshi Takemori, Shinji Tanigaki, Yoichi Kobayashi
No abstract text is available yet for this article.
June 3, 2023: Journal of Medical Ultrasonics
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