scholarly journals Diagnostic accuracy of first-trimester ultrasound in detecting abnormally invasive placenta in high-risk women with placenta previa

2018 ◽  
Vol 52 (2) ◽  
pp. 258-264 ◽  
Author(s):  
G. Cali ◽  
F. Forlani ◽  
F. Foti ◽  
G. Minneci ◽  
L. Manzoli ◽  
...  
Keyword(s):  
High Risk ◽  
Diagnostic Accuracy ◽  
Placenta Previa ◽  
First Trimester ◽  
High Risk Women ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta ◽  
First Trimester Ultrasound

scholarly journals First‐trimester detection of abnormally invasive placenta in high‐risk women: systematic review and meta‐analysis

2018 ◽  
Vol 51 (2) ◽  
pp. 176-183 ◽  
Author(s):  
F. D'Antonio ◽  
I. E. Timor‐Tritsch ◽  
J. Palacios‐Jaraquemada ◽  
A. Monteagudo ◽  
D. Buca ◽  
...  
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Meta Analysis ◽  
First Trimester ◽  
High Risk Women ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

scholarly journals First‐trimester prediction of surgical outcome in abnormally invasive placenta using the cross‐over sign

2018 ◽  
Vol 51 (2) ◽  
pp. 184-188 ◽  
Author(s):  
G. Calì ◽  
F. Forlani ◽  
G. Minneci ◽  
F. Foti ◽  
S. Di Liberto ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
First Trimester ◽  
Invasive Placenta ◽  
The Cross ◽  
Abnormally Invasive Placenta

scholarly journals Patterns of antenatal care in low-versus high-risk pregnancies in Lebanon

2004 ◽  
Vol 10 (3) ◽  
pp. 268-276
Author(s):  
F. El Kak ◽  
M. Chaaya ◽  
O. Campbell ◽  
A. Kaddour
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Laboratory Tests ◽  
Risk Groups ◽  
First Trimester ◽  
Pregnancy Risk ◽  
High Risk Women ◽  
Special Diets ◽  
Number Of Visits ◽  
Antenatal Visits

Westudied patterns of antenatal care in low- versus high-risk pregnancies in Lebanon comparing 538 women after delivery in urban Beirut with rural Baka’a. Most women had 9 antenatal care visits with an obstetrician, starting in the first trimester. Care for high-risk and low-risk pregnancies was similar in terms of type of provider, number of visits and timing of first visit. More high-risk women had advice about special diets, supplements and laboratory tests. Maternal and fetal outcomes showed that, controlling for area and pregnancy risk, more antenatal visits were associated with fewer preterm deliveries, more caesarean sections and fewer cases of postpartum depression. Overall, differences between risk groups were small

Thromboprophylaxis with Low Molecular Weight Heparin (Fragmin) in High Risk Pregnancies

1997 ◽  
Vol 77 (01) ◽  
pp. 039-043 ◽  
Author(s):  
Beverley J Hunt ◽  
Heidi-Ann Doughty ◽  
G Majumdar ◽  
Adrian Copplestone ◽  
Sian Kerslake ◽  
...  
Keyword(s):  
Molecular Weight ◽  
High Risk ◽  
Post Partum ◽  
Osteoporotic Fractures ◽  
First Trimester ◽  
Thromboembolic Disease ◽  
Low Molecular Weight ◽  
Optimal Dosage ◽  
High Risk Women ◽  
Osteoporotic Vertebral Collapse

SummaryVenous thromboembolic disease remains the commonest cause of maternal death. The management of thromboprophylaxis in high risk women during pregnancy is contentious. Low molecular weight heparins (LMW) have theoretical advantages compared with unfractionated heparin and warfarin but have been poorly studied in pregnancy. We report on the use of LMW heparin (Fragmin) as thromboprophylaxis in thirty four high risk pregnancies.All the women had a previous thrombosis or a thrombosis in their current pregnancy +/- a recognised thrombophilic state (eleven had the antiphospholipid syndrome).Fragmin was given subcutaneously to maintain trough anti-Xa activity of 0.15-0.2 U/ml and 2 h post injection levels of 0.4-0.6 U/ml. The levels were checked monthly during pregnancy. Most women required 5,000U Fragmin once daily during the first trimester unless they were greater than 100 kg at the start of pregnancy. The mean time for dosage increase was 20.5 week (S.D. 8.2). 26/34 pregnancies (76%) required twice daily at the end of pregnancy. Epidural anaesthesia was managed by omitting Fragmin dose or inserting the needle 6 hours after the previous Fragmin injection. There were no thromboembolic events, thrombocytopenias or excessive haemorrhage. One woman had osteoporotic vertebral collapse post partum, she had no other risk factors for osteoporosis.LWM heparin (Fragmin) appears to be efficacious in preventing recurrent thromboembolic disease in pregnant women at high risk, but it is notable that osteoporotic fractures occurred post partum in one woman. Further trials are required to determine optimal dosage and safety.

Innovation of delivery of pregnant women with abnormally invasive placenta: placenta percreta (Case of practice)

2018 ◽  
pp. 19-24
Author(s):  
O.V. Golyanovskiy ◽  
◽  
V.V. Mekhedko ◽  
D.O. Goncharenko ◽  
V.M. Kucher ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Argon Plasma ◽  
Placental Tissue ◽  
Massive Bleeding ◽  
Balloon Occlusion ◽  
Depth Of Invasion ◽  
Internal Iliac ◽  
Invasive Placenta ◽  
Severe Pathology ◽  
Abnormally Invasive Placenta

The article presents a case from practice with prenatal diagnostics of abnormally invasive placenta (Рl. Percreta) with invasion into the back wall of the bladder on the background of full placenta previa and previous caesarean section. Stressed the relevance of modern diagnostic pathologists placentation using ultrasound, Doppler and MRI to determine the depth of invasion of the placental tissue into the myometrium is emphasized. An innovative algorithm for delivery of a pregnant woman with this severe pathology using the endovascular technique of temporary balloon occlusion of the abdominal aorta, performing a cesarean section with a subsequent hysterectomy without appendages, ligating of the internal iliac arteries (IIAL), and argon-plasma tissue coagulation is proposed. The proposed method significantly reduces the amount of blood loss, the likelihood of developing massive bleeding, coagulopathic disorders and possible damage to adjacent organs. Key words: abnormally invasive placenta, placenta increta/rercreta, placenta previa, massive obstetric hemorrhage, balloon occlusion of the aorta, argon-plasma tissue coagulation.

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