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Transabdominal sonographic sliding signs for preoperative prediction of dense intra-abdominal adhesions in women undergoing repeat Cesarean delivery.
Ultrasound Obstet Gynecol
December 2024
Department of Public Health, Faculty of Medicine and Health Sciences, Walter Sisulu University, Mthatha, South Africa.
Objectives: To assess the accuracy and utility of transabdominal sonographic paraumbilical and suprapubic sliding signs in predicting intra-abdominal adhesions in women undergoing repeat Cesarean section (CS), and to investigate the association of repeat CS with short-term maternal and neonatal outcomes.
Methods: This was a prospective observational study of pregnant women with a history of CS who were scheduled for third-trimester elective or emergency CS at a tertiary referral and teaching hospital between July 2021 and June 2022. In order to evaluate the role of transabdominal sonographic paraumbilical and suprapubic sliding signs in the prediction of intra-abdominal adhesions, participants underwent a high-resolution transabdominal ultrasound scan prior to repeat CS.
Necrotizing Fasciitis Post-Cesarean Section Leading to Transabdominal Hysterectomy.
AJP Rep
July 2024
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee.
Article Synopsis
- - Necrotizing fasciitis (NF) is a serious, rare infection that leads to fast-spreading tissue damage, often requiring surgical interventions like hysterectomies and debridement, as illustrated by a case involving a 25-year-old woman post-cesarean section.
- - The patient's condition was confirmed through pathology showing a bacterial infection in the uterus; however, diagnosing NF can be difficult due to vague symptoms and no specific indicators.
- - Early detection is essential for better outcomes, relying on a scoring system that assesses laboratory values, and a collaborative medical team is crucial for effective treatment and managing complications, especially in postpartum cases.
Comparison of maternal and neonatal morbidity in transvaginal versus transabdominal cerclage patients: A retrospective study from two tertiary hospitals.
Taiwan J Obstet Gynecol
September 2024
Department of Gynecology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong, Guangzhou, PR China; Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, PR China. Electronic address:
Objective: To compare the maternal and neonatal morbidity in patients with transvaginal (TVC) versus transabdominal (TAC) cerclage.
Materials And Methods: Retrospective analysis of patients who received cervical cerclage and terminated the pregnancy in the second trimester or third trimester in two tertiary hospitals. Data on basic clinical characteristics, predelivery maternal morbidity, intrapartum morbidity, postpartum morbidity and neonatal morbidity of TVC patients and TAC patients were analysed and compared.
Sonographic evaluation of retained products of conception within 48 h following delivery: a retrospective cohort study.
Arch Gynecol Obstet
August 2024
Raya Strauss Wing Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel.
Objective: Early diagnosis of retained products of conception (RPOC) is critical for directing clinical management and for preventing associated complications. This study aimed to evaluate the utility of post-delivery ultrasound in patients with risk factors for RPOC.
Study Design: A retrospective cohort-study was conducted in a single tertiary university-affiliated hospital (January 2016-September 2022).
Influence of Cesarean Section Scar on the Mean Pulsatility Index of the Uterine Artery Doppler between 20 and 34 Weeks of Gestation.
Geburtshilfe Frauenheilkd
August 2024
Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil.
Objective: The aim of this study was to assess the influence of the cesarean section scars on the mean pulsatility index (PI) of the uterine artery Doppler between 20 and 34 weeks of gestation. A secondary objective was to assess the association between previous cesarean section and adverse maternal/perinatal outcomes.
Methods: A retrospective cohort study was conducted with pregnant women who had their deliveries between March 2014 and February 2023.
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