Efficacy of intraoperative wireless ultrasonography for uterine incision among patients with adherence findings in placenta previa
| Autor: | Suk Young Kim, Min J. Choi, Dahoe Jeong, Chan M. Lim, Kyung Joo Cho, Hae-rin Jeon |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Operative Time Blood Loss Surgical Placenta Previa Maternal morbidity Intraoperative bleeding 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans In patient Prospective Studies Prospective cohort study Ultrasonography Interventional Retrospective Studies 030219 obstetrics & reproductive medicine Cesarean Section business.industry Obstetrics Obstetrics and Gynecology Retrospective cohort study Length of Stay medicine.disease Intraoperative Hemorrhage Placenta previa Case-Control Studies 030220 oncology & carcinogenesis Female Ultrasonography business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 46:876-882 |
| ISSN: | 1447-0756 1341-8076 |
| DOI: | 10.1111/jog.14243 |
| Popis: | AIM We evaluated the effectiveness of intraoperative wireless ultrasonography in determining the location of uterine incision during cesarean delivery in patients with placenta previa who have sonographic adherence findings in order to assess intraoperative blood loss and maternal morbidity. METHODS A prospective study using wireless sonography, including 15 patients with previa, was conducted among women with singleton pregnancies who delivered by cesarean section between August 1, 2017, and August 30, 2019. Retrospective study for the control group included 32 patients with placenta previa who underwent cesarean section between January 1, 2016, and July 31, 2017, without wireless sonography. Patients with previa who had adherence findings in prenatal sonography were included in both groups. Logistic regression was used to identify the association between massive intraoperative bleeding loss and use of wireless ultrasound sonography. RESULTS Intraoperative blood loss was significantly reduced in the study group compared to that in the control group (P = 0.009). The hospital stay was significantly shorter in the study group compared to the control group (5 days vs 6 days, P |
| Databáze: | OpenAIRE |
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