6,028 results match your criteria: "Placenta Previa"
Perinatal and obstetric-neonatal outcomes following frozen embryo transfer cycles with a thinner endometrium: a retrospective study.
BMC Pregnancy Childbirth
November 2024
Department of Reproductive Medicine, Nanjing Maternity and Child Health Care Hospital, Women's Hospital of Nanjing Medical University, 123 Tianfeixiang, Mochou Road, Qinhuai District, Nanjing, JiangSu, China.
Article Synopsis
- The study aimed to explore how thin endometrial thickness (≤7.5 mm) affects maternal and child health outcomes in frozen-thawed embryo transfer (FET) cycles for singletons, comparing 273 women with thin endometria to 1,498 controls with thicker endometria.
- The results showed that while some complications like preeclampsia and postpartum hemorrhage were more common in the thin group, the main significant differences were in placental issues such as abruption and adherence, along with a notably lower birth weight for infants from the thin endometrial group.
- The conclusion emphasizes the critical need to monitor and manage pregnancies in women with thin endometria, highlighting its relevance in influencing adverse per
Autologous Blood Donation and Transfusion in Patients with Placental Malposition: A Single-Institution Pilot Study and Systematic Literature Review.
Healthcare (Basel)
October 2024
Department of Obstetrics and Gynecology, Faculty of Medicine, Kindai University, 377-2 Ohnohigashi, Osakasayama 589-8511, Osaka, Japan.
Article Synopsis
- A study at Kindai University Hospital evaluated the usefulness of autologous blood donation for patients with placental malposition over ten years, focusing on its effectiveness in avoiding allogeneic blood transfusions.
- Of the 52 patients reviewed, only 9.6% successfully avoided using donated blood from another person, while complications occurred in 15% of donations, although no lasting effects were noted.
- A systematic review found no scientific evidence supporting the benefit of autologous blood transfusion for this condition, leading to the conclusion that such donations offer minimal advantage.
Endometriosis and risk factors in pregnancy, labor and delivery: a case-control study.
Minerva Obstet Gynecol
November 2024
Unit of Obstetrics and Gynecology, AOU Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy.
Article Synopsis
- - Endometriosis might be thought to improve during pregnancy, but it can actually lead to adverse pregnancy outcomes and complications like gestational hypertension and pre-eclampsia.
- - In a study involving 91 women with endometriosis matched to 273 controls, higher rates of cesarean deliveries and postpartum hemorrhage were observed in women with the condition.
- - The findings suggest that while endometriosis is associated with increased risks during pregnancy, it does not necessarily raise the likelihood of needing a cesarean delivery, which is important for obstetricians to consider in their care.
Usefulness of decision tree analysis of MRI features for diagnosis of placenta accreta spectrum in cases with placenta previa.
Jpn J Radiol
November 2024
Department of Obstetrics and Gynecology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
Article Synopsis
- The study focuses on placenta previa complicated by placenta accrete spectrum (PAS), emphasizing the need for preoperative diagnosis to ensure proper management of this serious condition.
- Researchers analyzed MRI images from 145 patients to identify 11 features related to PAS, finding eight features significantly correlated with the condition, particularly placental/uterine bulge and myometrial thinning.
- A decision tree model, based on five key MRI features, was developed and demonstrated high sensitivity (90%) and specificity (95.5%) for predicting PAS in patients diagnosed with placenta previa.
Fertility Preserving Management of Refractory Postpartum Haemorrhage: A Case of Bilateral Internal Iliac Artery Ligation Following Uterine Atony.
Cureus
October 2024
Obstetrics and Gynaecology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Article Synopsis
- * The bilateral ligation of the anterior division of the internal iliac arteries (IIAL) is a surgery that can help control severe bleeding while preserving fertility, primarily used for conditions like uterine atony and placenta previa.
- * Despite its effectiveness, IIAL is not commonly performed due to a lack of training and experience among obstetricians, highlighting the need for improved education and awareness to increase its use.
Maternal and fetal outcomes among pregnant women with endometriosis.
J Perinat Med
November 2024
Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Article Synopsis
- The study investigates the link between endometriosis during pregnancy and negative health outcomes for mothers and newborns, using data from the Healthcare Cost and Utilization Project over a 20-year period.
- Findings show a significant increase in endometriosis prevalence during pregnancy and reveal that mothers with endometriosis face higher risks of complications such as pre-eclampsia, gestational diabetes, and preterm birth, while their newborns may experience growth restrictions and congenital anomalies.
- The study emphasizes the need for healthcare providers to monitor pregnancies of individuals with endometriosis closely due to the heightened risk of adverse events associated with this condition.
The Association and diagnostic value between Maternal Serum Placental Markers and Placenta Previa.
Eur J Obstet Gynecol Reprod Biol X
December 2024
The Fourth Clinical Medical School of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China.
Article Synopsis
- * Data from 137 hospitalized women showed that those with placenta previa had significantly higher levels of free β-hCG and AFP compared to a control group, while PAPP-A levels did not significantly differ.
- * ROC curve analysis confirmed some diagnostic value of FT-Free β-hCG and ST-Free β-hCG for identifying placenta previa, with AUC values indicating moderate effectiveness.
Association between adenomyosis volume and adverse perinatal outcomes: multicenter cohort study.
Ultrasound Obstet Gynecol
November 2024
Department of Obstetrics, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Article Synopsis
- - The study aimed to evaluate how the volume of adenomyosis, which indicates its severity, relates to the likelihood of experiencing negative outcomes during pregnancy.
- - Conducted in China, this research included a large number of pregnant women divided into two groups: those without adenomyosis and those with it, analyzing their pregnancy results through ultrasound and statistical methods.
- - Findings revealed that pregnancies affected by adenomyosis significantly increased the risk of several complications, including preterm birth and abnormal fetal position, highlighting the importance of monitoring adenomyosis in pregnant women.
The effects of fresh embryo transfer and frozen-thawed embryo transfer on the perinatal outcomes of single fetuses from mothers with PCOS.
PLoS One
October 2024
Reproductive Medicine Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.
Article Synopsis
[Diagnostic value of prenatal ultrasound screening and analysis of pregnancy outcomes in velamentous umbilical cord insertion].
Zhonghua Fu Chan Ke Za Zhi
October 2024
Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China.
Article Synopsis
- The study examines the effectiveness of prenatal ultrasound in detecting velamentous umbilical cord insertion (VCI) and its impact on the outcomes of pregnancy.
- Out of 58 women with VCI, 93.1% were accurately diagnosed by ultrasound, but there were still cases of missed and misdiagnoses noted.
- Women with VCI had higher rates of complications, such as assisted reproductive technology use and twin pregnancies, along with increased incidences of various placental issues compared to a control group, leading to a higher cesarean section rate.
[Analysis of perinatal outcomes in pregnant women with the resolution of placenta previa in the second trimester].
Zhonghua Fu Chan Ke Za Zhi
October 2024
Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
Article Synopsis
- - The study examined the impact of resolving placenta previa in pregnant women during the second trimester, comparing outcomes for 403 women with resolved placenta previa to 403 women with normal placental positioning.
- - Key findings revealed that women in the study group had higher rates of postpartum hemorrhage and related interventions than those in the control group, with statistically significant differences in rates and volumes of blood loss.
- - Despite these differences in postpartum outcomes, neonatal metrics such as birth weight and incidences of complications showed no significant disparities between the two groups.
Antepartum risk factors and outcomes of massive transfusion for elective cesarean section: a nationwide retrospective cohort study.
BMC Pregnancy Childbirth
October 2024
Department of Anesthesiology, Chinese Academy of Medical Sciences & Peking Union Medical College Hospital, Beijing, 100730, China.
Article Synopsis
- Postpartum hemorrhage is a major cause of maternal health issues, especially varying by the type of birth; this study focuses on antepartum risk factors specifically for elective cesarean sections.
- A retrospective analysis of over 294,000 women in China identified key risk factors for massive blood transfusion during elective cesarean deliveries, including maternal age, anemia, and various health conditions.
- Results indicated that certain factors, like coagulopathy and placenta previa, significantly increase the likelihood of needing massive transfusions, with a small percentage of women experiencing severe outcomes like death during hospitalization.
Routine Transvaginal Ultrasound at the Time of the Anatomy Scan: To Do or Not To Do?
Am J Perinatol
October 2024
Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai West, New York.
Article Synopsis
- A universal transvaginal ultrasound (UTVUS) protocol was introduced at an institution to standardize ultrasound practices during the anatomy scan, aiming to improve outcomes like preterm birth and neonatal complications.
- A retrospective study analyzed 2,118 singleton pregnancies, comparing outcomes between a group that underwent risk-based TVUS (pre group) and a group that received UTVUS (post group), with no significant differences in adverse outcomes such as preterm birth or NICU admissions.
- The implementation of UTVUS did lead to increased use of vaginal progesterone but ultimately did not demonstrate a reduction in negative pregnancy effects compared to the previous selective ultrasound approach.
[Pregnancies at advanced maternal age].
Rev Med Suisse
October 2024
Service d'obstétrique, Département de la femme, l'enfant et l'adolescent, Hôpitaux universitaires de Genève, 1211 Genève 14.
Article Synopsis
- The concept of advanced maternal age (AMA) often refers to women aged 35 and older, with the global standard set at 40 years for monitoring and delivery timelines.
- Mothers with AMA are more likely to have health issues like type 2 diabetes and hypertension, which increases the chances of complications during pregnancy.
- Risks associated with AMA include higher rates of miscarriage, gestational diabetes, caesarean sections, and potential fetal issues like genetic anomalies and prematurity.
Evaluation of fetal growth and birth weight in pregnancies with placenta previa with and without placenta accreta spectrum.
J Perinat Med
October 2024
Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Fetal Intervention, UTHealth McGovern Medical School, Houston, TX, USA.
Objectives: We evaluated fetal growth and birthweight in pregnancies with placenta previa with and without placenta accreta spectrum (PAS).
Methods: We retrospectively studied pregnant patients with placenta previa with or without PAS diagnosed at 20-37 weeks' gestation. Estimated fetal weight (EFW) percentile and fetal growth rate were calculated based on ultrasound at two timepoints: 20-24 and 30-34-weeks' gestation.
Risk factors for relaparotomy after cesarean delivery.
Int J Gynaecol Obstet
October 2024
Helen Schneider Hospital for Women, Rabin Medical Center, Petach Tikva, Israel.
Objective: To identify and analyze risk factors associated with relaparotomy following cesarean delivery (CD), focusing on obstetric and surgical parameters.
Methods: Retrospective case-control study conducted at a high-volume tertiary obstetric center. We reviewed all women who underwent CD between 2013 and 2023.
Transvaginal sonographic screening of abnormal intra-amniotic structure around internal cervical os at 18-21 weeks of gestation.
Int J Gynaecol Obstet
October 2024
Department of Obstetrics and Gynecology, Miyake Clinic, Okayama, Japan.
Article Synopsis
- * Methods: An analysis of 395 transvaginal scans conducted over a year revealed 9 cases of abnormal intra-amniotic structures, compared against 87 cases of low-lying placentas and 299 controls with normal outcomes.
- * Results: The incidence of abnormal intra-amniotic structures was 2.28%. These cases were associated with higher rates of complications during delivery, emphasizing the importance of mid-second-trimester screening to improve perinatal health.
Artificial Sweetener and the Risk of Adverse Pregnancy Outcomes: A Mendelian Randomization Study.
Nutrients
October 2024
Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
The relationship between the intake of artificial sweetener (AS) and adverse pregnancy outcomes is under-researched, and existing studies yield inconsistent conclusions. A Mendelian randomization (MR) approach was employed to investigate the causal relationship between the intake of AS and adverse pregnancy outcomes. Instrumental variables related to the exposure phenotype were selected for analysis.
View Article and Find Full Text PDFPregnancy and Neonatal Outcomes in Women Treated for Bowel Endometriosis: A Seven-Year Single-Centre Retrospective Matched Cohort Study.
J Clin Med
October 2024
Department of Human Reproduction, Division of Gynaecology and Obstetrics, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Deep infiltrating endometriosis has been linked to worsened maternal and neonatal outcomes. However, reports regarding bowel endometriosis are still scanty. We aimed to evaluate pregnancy, delivery, and newborn adverse outcomes in women after laparoscopic-assisted surgery for bowel endometriosis.
View Article and Find Full Text PDFRisk factors of severe postpartum hemorrhage in pregnant women with placenta previa or low-lying placenta: a retrospective cohort study.
BMC Pregnancy Childbirth
October 2024
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric and Gynecologic Diseases, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Article Synopsis
- Severe postpartum hemorrhage (SPPH) is a critical maternal health issue, particularly associated with placenta previa and low-lying placenta, and its prevalence is concerningly increasing in recent years.* -
- A study analyzing data from 14,964 women showed a 1.3% overall SPPH rate, but this rose to 18.9% among women with placenta previa or low-lying placenta, highlighting weight and severe placenta conditions as significant risk factors.* -
- The research emphasizes the importance of antenatal risk assessments for SPPH in these at-risk populations, as the placenta accreta spectrum was found to be a major predictor, warranting timely intervention.*
Article Synopsis
- - The study aimed to analyze trends and risk factors associated with postpartum hemorrhage (PPH) in the U.S. using data from the ENACT network, which aggregates electronic health records from various academic medical centers between 2005 and 2022.
- - Results indicated a significant increase in PPH rates, from 5,634 to 10,504 cases per 100,000 deliveries, with higher prevalence among Native Hawaiian or Other Pacific Islander women, as well as significant disparities across different ethnic and racial groups.
- - The main risk factor for PPH was identified as placenta previa or accreta, while antepartum hemorrhage/placental abruption was the primary comorbidity; the study emphasizes the necessity
Application of intraoperative abdominal aortic balloon occlusion for bleeding during cesarean section in pernicious placenta previa.
Am J Transl Res
September 2024
Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University Chengdu 610041, Sichuan, China.
Article Synopsis
- The study analyzed the effectiveness of abdominal active balloon closure during cesarean sections for patients with pernicious placenta previa (PPP), involving 140 patients from a specific hospital.
- The patients were split into two groups: one received intraoperative abdominal aortic balloon occlusion (IAABO) during surgery, while the other did not.
- Results showed that the IAABO group experienced significantly less blood loss, lower transfusion rates, fewer hysterectomies, and improved postoperative recovery compared to the routine group, indicating it’s a beneficial intervention for such patients.
Fluid resuscitation strategy in patients with placenta previa accreta: a retrospective study.
Front Med (Lausanne)
September 2024
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Article Synopsis
- Obstetric hemorrhage is a leading cause of maternal death, with placenta previa accreta being a significant factor, contributing to 66% of such cases requiring fluid resuscitation.
- The study retrospectively examined risk factors, clinical features, and outcomes by analyzing hemodynamic indicators related to patients diagnosed with placenta previa accreta over key time points during medical procedures.
- Key findings indicate that conditions like placenta increta/percreta and delivering after 37 weeks significantly increase the risk of massive hemorrhage in these patients, highlighting the need for effective monitoring and fluid management strategies.
Impact of high-order repeat cesarean deliveries on early maternal complications among major placenta previa patients in Southern Saudi Arabia.
Saudi Med J
October 2024
From the Department of Obstetrics and Gynecology (Shaamash, AlQasem, Al Ghamdi, Almanie, Eskandar); from the Department of Family and Community Medicine (Mahfouz), College of Medicine, King Khalid University, and from the Department of Obstetrics and Gynecology (Shaamash, AlQasem, Al Ghamdi, Almanie, Eskandar), Abha Maternity and Children's Hospital, Abha, Kingdom of Saudi Arabia.
Article Synopsis
- The study looked at women with major placenta previa who had many cesarean deliveries (C-sections) to see if they had more health problems.
- Researchers compared two groups: one with 2-3 C-sections and another with 4-7 C-sections.
- They found that women with more C-sections had a lot more complications, like serious bleeding and needing extra surgeries.