PLANNED DELIVERY
ANTEPARTUM HAEMORRHAGE - APH
PLACENTA PRAEVIA
ANTENATAL MANAGEMENT
Am J Obstet Gynecol. 2009 Jul 23. [Epub ahead
of print]
Links
Placenta previa: distance to internal os and mode of delivery.
Vergani P, Ornaghi S, Pozzi I, Beretta P, Russo FM, Follesa I, Ghidini A.
Department of Obstetrics and Gynecology, University of Milano-Bicocca, Monza,
Italy.
OBJECTIVE: The purpose of this study was to relate the mode of delivery and
outcomes in a cohort of cases of placenta previa that had the last
transvaginal ultrasonographic scan <28 days before delivery. STUDY DESIGN:
Cases in which the placental edge overlapped the internal cervical (n = 42)
underwent cesarean section delivery. Labor was allowed in those with
placental edge to internal os distance of 1-10 mm (group 1, 24 women) and
those with a distance of 11-20 mm (group 2, 29 women). RESULTS: Rates of
cesarean section delivery (75% vs 31%; odds ratio, 6.7; 95% confidence
interval [CI], 2-22) and of bleeding before labor (29% vs 3%; odds ratio,
11.5; 95% CI, 1.6-76.7) were higher in group 1 than in group 2. Blood loss
at delivery (662 +/- 466 mL vs 510 +/- 547 mL) and rate of severe postpartum
hemorrhage (21% vs 10%; odds ratio, 2.3; 95% CI, 0.5-9.7) were similar in
the 2 groups. CONCLUSION: More than two-thirds of women with a placental
edge to cervical os distance of >10 mm deliver vaginally without increased
risk of hemorrhage
.
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
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Am J Obstet Gynecol. 2009 Jul 23. [Epub ahead
of print] .
Thank you for choosing to visit us. This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT. I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
If you still have unanswered questions, please consider entering them into one of our forums and I will try to assist you.
Links
Placenta previa: distance to internal os and mode of delivery.
Vergani P, Ornaghi S, Pozzi I, Beretta P, Russo FM, Follesa I, Ghidini A.
Department of Obstetrics and Gynecology, University of Milano-Bicocca, Monza,
Italy.
OBJECTIVE: The purpose of this study was to relate the mode of delivery and
outcomes in a cohort of cases of placenta previa that had the last
transvaginal ultrasonographic scan <28 days before delivery. STUDY DESIGN:
Cases in which the placental edge overlapped the internal cervical (n = 42)
underwent cesarean section delivery. Labor was allowed in those with
placental edge to internal os distance of 1-10 mm (group 1, 24 women) and
those with a distance of 11-20 mm (group 2, 29 women). RESULTS: Rates of
cesarean section delivery (75% vs 31%; odds ratio, 6.7; 95% confidence
interval [CI], 2-22) and of bleeding before labor (29% vs 3%; odds ratio,
11.5; 95% CI, 1.6-76.7) were higher in group 1 than in group 2. Blood loss
at delivery (662 +/- 466 mL vs 510 +/- 547 mL) and rate of severe postpartum
hemorrhage (21% vs 10%; odds ratio, 2.3; 95% CI, 0.5-9.7) were similar in
the 2 groups. CONCLUSION: More than two-thirds of women with a placental
edge to cervical os distance of >10 mm deliver vaginally without increased
risk of hemorrhage
Your Own Web Presence
For £35
Have your own web ad on the internet and optimized for good positioning.
Your Own Dedicated Web Page Designed Specifically For You
More Effective
Than Your Own
Single Page Website
For £35