scholarly journals OC014: Clinical significance of sonographic findings in placenta previa with prior Cesarean section

2004 ◽  
Vol 24 (3) ◽  
pp. 220-220
Author(s):  
J. I. Yang ◽  
Y. K. Lim ◽  
S. J. Chang ◽  
H. S. Kim ◽  
M. R. Kim ◽  
...  
2009 ◽  
Vol 62 (5-6) ◽  
pp. 212-216 ◽  
Author(s):  
Jelena Milosevic ◽  
Vekoslav Lilic ◽  
Marija Tasic ◽  
Dragana Radovic-Janosevic ◽  
Milan Stefanovic ◽  
...  

Introduction The incidence of cesarean section has been rising in the past 50 years. With the increased number of cesarean sections, the number of pregnancies with the previous cesarean section rises as well. The aim of this study was to establish the influence of the previous cesarean section on the development of placental complications: placenta previa, placental abruption and placenta accreta, as well as to determine the influence of the number of previous cesarean sections on the complication development. Material and methods The research was conducted at the Clinic of Gynecology and Obstetrics in Nis covering 10-year-period (from 1995. to 2005.) with 32358 deliveries, 1280 deliveries after a previous cesarean section, 131 cases of placenta previa and 118 cases of placental abruption. The experimental groups was presented by the cases of placenta previa or placental abruption with prior cesarean section in obstetrics history, opposite to the control group having the same conditions but without a cesarean section in medical history. RESULTS The incidence of placenta previa in the control group was 0.33%, opposite to the 1.86% incidence after one cesarean section (p<0.001), 5.49% after two cesarean sections and as high as 14.28% after three cesarean sections in obstetric history. Placental abruption was recorded as placental complication in 0.33% pregnancies in the control group, while its incidence was 1.02% after one cesarean section (p<0.001) and 2.02% in the group with two previous cesarean sections. The difference in the incidence of intrapartal hysterectomy between the group with prior cesarean section (0.86%) and without it (0.006%) shows a high statistical significance (p<0.001). CONCLUSION The previous cesarean section is an important risk factor for the development of placental complications.


2020 ◽  
Author(s):  
Ahmad B. Alwazzan ◽  
abdullah Kafy ◽  
Samera F. AlBasri ◽  
Ahmed A. Mousa ◽  
Lujain K. Halawani ◽  
...  

Abstract Background: To estimate the rate of placenta previa in relation to prior delivery via cesarean section (CS) during a 15-year period in an academic medical center, King Abdulaziz University Hospital (KAUH), in Jeddah, Saudi Arabia.Methods: In this retrospective study, we reviewed the medical records of all pregnant women who delivered at KAUH from January 2001 to December 2015. For each year, the research team recorded the total number of deliveries, as well as the number and percentage of CS deliveries and patients with placenta previa. The association between placenta previa and previous CS was assessed. Results: Out of the 62,701 deliveries at KAUH during the study period, 13,404 were CS deliveries, producing an overall CS rate of 21.4%. The total number of patients with placenta previa was 260, for a placenta previa rate of 4.14 cases/1,000 births. Of patients with placenta previa, 135 had a prior CS (60%), whereas 91 multigravida women had no previous CS (40%).There is positive correlation between number of CS and number of placenta pravia.Conclusion: In spite of, significant positive correlation between number of CS and number of placenta previa. The rate of placenta previa was not significantly different between patients with or without prior CS delivery. This suggests that factors other with previous CS could play role in the development of placenta previa especially in primgravida.


2020 ◽  
pp. 1-6

Pseudopregnancy detection is significant while as the false pregnancy may show all symptoms. It is important to differentiate it. This is a case report of a pseudopregnancy which led to an emergency cesarean section. A 28-year-old woman who claimed to 7-month pregnancy was brought to the rural health center by husband families complaining of vaginal bleeding. The woman refers to an urban hospital by Emergency Medical Service with the diagnosis of placenta previa. In the hospital, she underwent an emergency cesarean section due to a severe deceleration of fetal heart rate, prior to assessing by sonography. No fetus or signs of uterine or abdominal pregnancy were found. Wrong auscultation of the mother's heart rate instead of fetal heart rate seems to be the main error. It is required to pay more attention to the methods of differentiation of fetal heart rate from the mother's heart rate. This report enlightens false pregnancy and early differentiation.


2021 ◽  
Vol 10 (4) ◽  
pp. 667
Author(s):  
Kjerstine Breintoft ◽  
Regitze Pinnerup ◽  
Tine Brink Henriksen ◽  
Dorte Rytter ◽  
Niels Uldbjerg ◽  
...  

Background: This systematic review and meta-analysis summarizes the evidence for the association between endometriosis and adverse pregnancy outcome, including gestational hypertension, pre-eclampsia, low birth weight, and small for gestational age, preterm birth, placenta previa, placental abruption, cesarean section, stillbirth, postpartum hemorrhage, spontaneous hemoperitoneum in pregnancy, and spontaneous bowel perforation in pregnancy. Methods: We performed the literature review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), by searches in PubMed and EMBASE, until 1 November 2020 (PROSPERO ID CRD42020213999). We included peer-reviewed observational cohort studies and case-control studies and scored them according to the Newcastle–Ottawa Scale, to assess the risk of bias and confounding. Results: 39 studies were included. Women with endometriosis had an increased risk of gestational hypertension, pre-eclampsia, preterm birth, placenta previa, placental abruption, cesarean section, and stillbirth, compared to women without endometriosis. These results remained unchanged in sub-analyses, including studies on spontaneous pregnancies only. Spontaneous hemoperitoneum in pregnancy and bowel perforation seemed to be associated with endometriosis; however, the studies were few and did not meet the inclusion criteria. Conclusions: The literature shows that endometriosis is associated with an increased risk of gestational hypertension, pre-eclampsia, preterm birth, placenta previa, placental abruption, cesarean section, and stillbirth.


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