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Anales Del Sistema Sanitario de Navarra 2009A haemorrhage is one of the most frequent, and potentially most serious, causes for emergency consultation during gestation. In this review we offer an overall approach... (Review)
Review
A haemorrhage is one of the most frequent, and potentially most serious, causes for emergency consultation during gestation. In this review we offer an overall approach to managing a pregnant woman who attends Accidents and Emergencies due to vaginal bleeding and then, in a more specific way, we consider how to manage some of the most frequent entities of the obstetric haemorrhage. With respect to haemorrhages in the second trimester, we give greater attention to how to manage a miscarriage, since other entities that are also frequent receive a specific evaluation in other chapters. In the second trimester three entities account for the greatest percentage of haemorrhages, such as placenta praevia, the premature detachment of the normally inserted placenta and uterine rupture. In each case we have evaluated the etiopathology, diagnostic attitude and management in the most systematic way possible.
Topics: Female; Hemorrhage; Humans; Placenta Diseases; Placenta Previa; Pregnancy; Pregnancy Complications, Hematologic; Uterine Rupture
PubMed: 19436342
DOI: 10.23938/ASSN.0190 -
Ginecologia Y Obstetricia de Mexico Aug 2014The placenta praevia and acretism placental were concurrently and are conditions of abnormal placenta, in which the villus sampling invade the myometrium at the site of...
The placenta praevia and acretism placental were concurrently and are conditions of abnormal placenta, in which the villus sampling invade the myometrium at the site of implantation and is associated with the partial or complete absence of the decidua. Clinical case: Patient's 32 years of age, with 34 weeks pregnancy. Obstetric history of previous cesarean section, transvaginal bleeding several times; the diagnosis by ultrasound showed placenta praevia occlusive. Surgical treatment was abdominal total hysterectomy.
Topics: Adult; Female; Humans; Placenta Accreta; Placenta Previa; Pregnancy
PubMed: 25282948
DOI: No ID Found -
Journal of Obstetrics and Gynaecology :... May 2008Ante-partum haemorrhage is an important cause of maternal and fetal morbidity and mortality, despite modern improvement in obstetric practice and transfusion service. It... (Review)
Review
Ante-partum haemorrhage is an important cause of maternal and fetal morbidity and mortality, despite modern improvement in obstetric practice and transfusion service. It is defined as any vaginal bleeding from the 20th week of gestation till delivery. The initial management of ante-partum haemorrhage should concentrate on resuscitation and accurate diagnosis. The most important causes are placenta praevia and abruption accounting for more than half the cases. The numbers of cases of placenta praevia and placenta accreta are increasing with the increasing caesarean section rate. In many cases, it is not possible to make a definite diagnosis, despite all the investigations. Development of ultrasound especially transvaginal scan has helped in the definitive diagnosis and management of placenta praevia. Every unit should have a clear protocol for the management of massive haemorrhage, which should be regularly updated and rehearsed.
Topics: Abruptio Placentae; Female; Humans; Placenta Previa; Pregnancy; Pregnancy Complications, Cardiovascular; Risk Factors; Uterine Hemorrhage
PubMed: 18604667
DOI: 10.1080/01443610802091487 -
The Australian & New Zealand Journal of... Apr 2021
Topics: Female; Humans; Placenta Previa; Postpartum Hemorrhage; Pregnancy; Pregnancy Outcome; Retrospective Studies
PubMed: 33523465
DOI: 10.1111/ajo.13272 -
The Australian & New Zealand Journal of... Oct 2013Cervical varicosities (CVs) have been reported infrequently in pregnancy and have been associated with significant antepartum and postpartum haemorrhage. The most common...
INTRODUCTION
Cervical varicosities (CVs) have been reported infrequently in pregnancy and have been associated with significant antepartum and postpartum haemorrhage. The most common association with CVs in pregnancy in the literature is placenta praevia.
AIMS
To further investigate the association between placenta praevia and CVs.
METHODS
A retrospective audit of all cases of placenta praevia that had an ultrasound in the Feto-Maternal Unit at Liverpool Hospital over the period January 2001 to January 2012. Patient outcomes were obtained from the hospital paper and electronic medical records, including mode of delivery and blood loss.
RESULTS
Eighty-four cases of placenta praevia were identified, and 78 had saved images that were reviewed. 51 of these 78 cases had transvaginal ultrasound (TVUS) images, which identified nine further cases of cervical varicosities. All cases of CVs were complicated by APH and delivered by caesarean section. There was no significant difference in the blood loss at delivery between the placenta praevia with CVs and those without (925 vs 870 mLs P = 0.3877).
CONCLUSIONS
Cervical varicosities are not as rare as the literature would suggest. The clinical relevance of the additional finding of CV on TVUS in cases of placenta praevia is questionable.
Topics: Adult; Cervix Uteri; Cesarean Section; Endosonography; Female; Hemorrhage; Humans; Placenta Previa; Pregnancy; Retrospective Studies; Ultrasonography, Doppler, Color; Uterine Cervical Diseases; Varicose Veins
PubMed: 23919618
DOI: 10.1111/ajo.12127 -
The Practitioner Mar 1970
Topics: Cesarean Section; Female; Hemorrhage; Humans; Placenta Previa; Pregnancy; Radiography; Radioisotopes; Ultrasonics
PubMed: 5434397
DOI: No ID Found -
The Medical Journal of Malaya Sep 1958
Topics: Female; Humans; Placenta Previa; Pregnancy
PubMed: 13589367
DOI: No ID Found -
Journal of the Irish Medical Association Sep 1951
Topics: Female; Placenta Previa; Pregnancy
PubMed: 14873974
DOI: No ID Found -
The Journal of the Indiana State... Nov 1953
Topics: Female; Humans; Placenta Previa; Pregnancy
PubMed: 13109210
DOI: No ID Found -
Midwife and Health Visitor Feb 1971
Topics: Female; Placenta Previa; Pregnancy
PubMed: 5209929
DOI: No ID Found