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Placenta Accreta Spectrum: Risk Factors for Unplanned Immediate Hysterectomy in Planned Uterine Preservation Surgery.
Am J Perinatol
December 2024
School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Objective: Placenta accreta spectrum (PAS) is a term used to describe trophoblast invasion into the uterine wall. The condition can be FATAL: at labor due to a lack of spontaneous separation of the placenta from the uterine wall, leading to severe hemorrhage. In this study, we aim to evaluate preoperative risk factors for unplanned immediate hysterectomy in PAS uterine-preserving surgeries.
View Article and Find Full Text PDFDeterminants of retroplacental hematoma at the Maradi mother and child health center, Niger: a case‒control study.
BMC Pregnancy Childbirth
November 2024
Department of Public Health, Faculty of Health Sciences, Abdou Moumouni University, Niamey, Niger.
Introduction: Retroplacental hematoma is a paroxysmal accident that threatens maternal and fetal prognosis. It is a major emergency in obstetric pathology. The objective of this study was to identify the factors associated with retroplacental hematomas at the Maradi Mother and Child Health Center in 2022.
View Article and Find Full Text PDFAbruptio placenta can be a catastrophic event with a high association with adverse maternal and fetal outcomes. We present a case of massive abruptio placenta occurring in a young asymptomatic mother at 30 weeks' gestation. Although electronic fetal monitoring and ultrasound allowed a prompt diagnosis of an 8 × 5 cm retroplacental hematoma, the fetus died at the time of emergency cesarean section.
View Article and Find Full Text PDFAssessment of an AI-based tool for population-wide collection of placental morphological data.
Eur J Obstet Gynecol Reprod Biol
August 2024
Translational Obstetrics Group, Mercy Hospital for Women, Dept. of Obstetrics and Gynaecology, University of Melbourne, Heidelberg, VIC, Australia.
Objectives: Automated placental assessment could allow accurate and timely morphological/pathological measurements at scale. We undertook a pilot study using an artificial intelligence-based assessment system (AI-PLAX) to ascertain the potential of a state-wide rollout as part of Generation Victoria, assessing the impact of time post-delivery, user, and technology used for image capture, on a range of derived placental data.
Study Design: Ten placentas were imaged by three different users and imaging technologies (iPad, iPhone, Samsung) at (0 h), 24 h, and 48 h post-delivery.
Early intrauterine pregnancy with an intrauterine device in place and terminated with spontaneous abortion: A case report.
Medicine (Baltimore)
April 2024
Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan.
Rationale: The overall pregnancy rate in individuals with an intrauterine device (IUD) for contraception is <1%. If pregnancy occurs while an IUD is in place, there is a higher risk of an ectopic pregnancy. We report the case of a woman with an IUD who was 7 weeks pregnant and experienced a spontaneous abortion 1 week later.
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