Publications by authors named "D Jurkovic"

Ectopic pregnancy, defined as the implantation of a developing pregnancy outside of the endometrial cavity of the uterus, is the leading cause of early-pregnancy maternal mortality. The majority of ectopic pregnancies implant in a fallopian tube. Acute complications may include rupture of the fallopian tube or rupture of ectopic pregnancy, haemorrhage and hypovolaemic shock, or occur secondary to treatments such as emergency surgery or blood transfusions, and ultimately increase the risk of maternal death.

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Objective: To assess the reproducibility of standardized 3-dimensional (3D) ultrasound volume analysis of the dimensions and the position of cesarean birth (CB) scar niche relative to the cervix in pregnant women.

Methods: This prospective single-center study in women with 1 previous CB ≥8 cm cervical dilatation acquired ultrasound volumes between 11 and 24 weeks' gestation in a mid-sagittal plane. Two experienced operators processed the volumes using virtual organ computer-aided analysis.

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Background: Caesarean scar ectopic pregnancy (CSEP) is associated with significant maternal and foetal morbidity. However, the optimal treatment remains unknown.

Objectives: The aim of this study was to review outcomes reported in studies on CSEP treatment and outcome reporting quality.

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Article Synopsis
  • This study looked at how well women with a special type of pregnancy complication called cesarean scar pregnancy (CSP) responded to different treatments.
  • Researchers found that a lot of women (about 86%) treated with suction curettage had successful results, while others had varying success rates depending on their treatment types.
  • Most women experienced few complications after treatment, with only a small percentage facing problems like needing more medical help or surgery.
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Article Synopsis
  • Uterine niches are common in women with previous Caesarean deliveries, yet there is no standard way to perform hysteroscopic evaluations of these niches, despite existing guidelines for ultrasound assessment.
  • A modified Delphi procedure involving expert consensus led to the agreement on a standardized method for hysteroscopic evaluation, defining niches and recommending subsections based on their complexity.
  • The resulting structured registration form aims to improve consistency and detail in evaluating uterine niches, emphasizing the importance of combining hysteroscopy with ultrasound for thorough assessment.
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