Cesarean delivery changes the uterine angle
Cesarean delivery can change the angle of a woman's uterus from an anteflexed...Read more on AuntMinnie.comRelated Reading: Can ultrasound screen for fetal growth restriction? US body fat measure predicts obstetric complications Fewer women are getting hysterectomies Under scrutiny: Pregnancy after uterine fibroid embolization How interventional radiologists can make childbirth safer
Authors: Elias KM, Berkowitz RS, Horowitz NS Abstract Gestational trophoblastic disease refers to a series of interrelated tumors arising from the placenta, including benign molar pregnancies as well as the malignant conditions termed gestational trophoblastic neoplasia (GTN). GTN most commonly follows a molar pregnancy but may develop after any gestation. The wide availability of first trimester ultrasound and serum human chorionic gonadotropin (hCG) measurement has changed the presentation of molar pregnancy in recent decades from a second trimester to a first trimester disease, such that most patients have few s...
Conclusions: Uterine arteries POPB is a promising technique that may be adopted in women with placenta praevia to prevent hemorrhagic complications. PMID: 31642721 [PubMed - as supplied by publisher]
Conclusions: Surgical treatment of anomalous placement of the placenta in third-level hospitals can prevent adverse perinatal outcomes. Expectant management is possible in selected patients. PMID: 31631190 [PubMed - in process]
A 30-year-old gravida 4, para 2 with two prior cesarean sections presented with persistent abnormal uterine bleeding one month following a surgical abortion at 7-weeks-gestation. 3D ultrasonography demonstrated a 6 cm vascular heterogenous mass at the prior uterine incision with lateral extension beyond the cesarean section scar concerning for placental increta (Fig 1). An ultrasound-guided dilation and curettage was performed by the family planning division to rule out a new pregnancy or placental tumor in light of abnormal beta-HCG levels (56-114 mIU/mL), but pathological examination only yielded necrotic placental tissue.
ConclusionSCEM followed by SC appears to be an effective treatment option for CSP. The method seems to be safe in short-term follow-up. However, complications were observed in long-term follow-up. Therefore, patients should be informed about the risk of complications interfering with future fertility, such as intrauterine adhesions and/or amenorrhea.
AbstractPurposeTo evaluate a system for assessing the risk of pernicious placenta previa (PPP) with placenta accreta spectrum (PAS) disorders and poor pregnancy outcomes.MethodsThis prospective study focused on PPP women at ≥ 28 weeks’ pregnancy. Transabdominal or transvaginal ultrasonography was used to assess PAS and poor pregnancy outcomes with a system involving uteroplacental demarcation, number and size of lacunae, bladder line, and placental basal and lacunae flow. Every item was assigned 0–2 points, and the sum yielded the final score. Diagnosis of PAS was based on surgery or path...
CONCLUSION: Given the myometrial defects and placenta increta observed in a pregnancy after uterine artery embolization without documented fibroids or uterine surgery, consideration should be given to antenatal myometrial thickness surveillance. PMID: 31285167 [PubMed - as supplied by publisher]
ConclusionAny reproductive-aged woman with at least one ovary and a means for sperm to meet egg should be screened for pregnancy if she presents with an acute abdomen or abdominal or pelvic pain.
Dominique E. Martin1,2, Amanda K. Jones1,3, Sambhu M. Pillai1,4, Maria L. Hoffman1,5, Katelyn K. McFadden1,6, Steven A. Zinn1, Kristen E. Govoni1 and Sarah A. Reed1* 1Department of Animal Science, University of Connecticut, Storrs, CT, United States 2Department of Psychology, Providence College, Providence, RI, United States 3Department of Pediatrics, School of Medicine, University of Colorado, Aurora, Aurora, CO, United States 4School of Medicine, Georgetown University, Washington, DC, United States 5Department of Fisheries, Animal and Veterinary Sciences, The University of Rhode Island, Kingston, RI, United St...
ConclusionsCaesarean scar pregnancies are uncommon. Multiple treatment strategies have been employed, with variable degrees of success. Further research into risk stratification and management are needed to guide clinician and patient decision making.