AI Article Synopsis
- * Researchers reviewed cases of multiple pregnancies needing FLP, comparing the visibility issues of amniotic fluid between patients with and without prior uterine bleeding.
- * Results showed that 28.6% of patients with a history of uterine bleeding experienced low visibility due to discolored fluid, significantly higher than the 0.74% in those without bleeding, indicating potential complications associated with previous bleeding.
Article Abstract
Aim: To investigate the association between uterine bleeding preceding fetoscopic laser photocoagulation (FLP) and the presence of discolored amniotic fluid that impedes FLP.
Methods: A retrospective review of all multiple gestations requiring FLP at the present institution was conducted. The rate of low visibility because of discolored amniotic fluid at the beginning of FLP was compared between patients with and without a history of uterine bleeding, defined as either genital bleeding or ultrasonographically detected subchorionic hematoma.
Results: The prevalence of low visibility because of discolored amniotic fluid was 4.5% (seven in 156 patients). Two of the seven cases of low visibility resulted in double fetal death. The incidence of low visibility was significantly higher in the group with uterine bleeding before surgery compared with that without bleeding (28.6% vs 0.74%, P < 0.001).
Conclusions: Patients with a history of uterine bleeding prior to FLP may encounter more technical difficulties owing to discolored amniotic fluid during FLP.
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| http://dx.doi.org/10.1111/jog.13133 | DOI Listing |
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