Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa?
Objectives To evaluate the effectiveness of cervical length and the lower placental edge thickness measurement in predicting the risk of antepartum hemorrhage (APH) and emergency preterm cesarean delivery in women with complete placenta previa. Methods Fifty-four cases with confirmed diagnosis of co...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2011-10, Vol.284 (4), p.867-873 |
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| creator | Zaitoun, Moustafa M. El Behery, Manal M. Abd El Hameed, Azza A. Soliman, Badeea S. |
| description | Objectives
To evaluate the effectiveness of cervical length and the lower placental edge thickness measurement in predicting the risk of antepartum hemorrhage (APH) and emergency preterm cesarean delivery in women with complete placenta previa.
Methods
Fifty-four cases with confirmed diagnosis of complete placenta previa in third-trimester were subjected to transvaginal sonographic measurement of cervical length and lower placental edge thickness and correlated this to clinical outcome with regards to gestational age at delivery, ante partum hemorrhage, emergency cesarean section before 36 weeks due to massive hemorrhage and neonatal birth weight.
Results
Antepartum bleeding and emergency cesarean section rate before 36 weeks due to massive bleeding were significantly higher in cases with thick lower placental edge or central placenta than cases with thin lower placental edge [16 cases (53.3%) vs. 5 cases (20.8%)] for the former and [14 cases (46.6%) vs. 4 cases (16.6%) for the later]. Antepartum bleeding was observed in 18 cases (51.4%) when cervical length measurements ≤30 mm of whom 16 cases (88.9%) had showed severe attack necessitated emergency cesarean delivery before 36 weeks versus 4 cases (21.1%) with cervical length ≥30 mm. By combining cervical length with lower placental edge thickness measurement sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and accuracy increased to 83.3, 78.4, 53.4, 79.8 and 89.7%, respectively for the prediction of antepartum bleeding and emergency cesarean section |
| doi_str_mv | 10.1007/s00404-010-1737-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_889450273</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261879655</sourcerecordid><originalsourceid>FETCH-LOGICAL-c371t-ecad6dfcf50b0335041d51e65917d86c53170afeb5d55fa30e6f241bae806c143</originalsourceid><addsrcrecordid>eNp1kcFuFSEUhonR2Gv1AdwYEheuRs-BAeaujKmtmjRxo2vCZc7cTmVghJk2voTPLNdba2LiCsj_nQ_Cz9hzhNcIYN4UgBbaBhAaNNI0-IBtsJWiAYP4kG1ge9iDNifsSSnXACi6Tj9mJwIRpRG4YT_fJyrcU74ZvQs8UNwvV9zFni9XxEO6pczn4DzFpcbU76kGo_8WqRQ-kStrpqmG3KecKbil2m7HqvBhjL-VaV18moiPkXtXapyGCk9zoIXu1XzOdDO6t0_Zo8GFQs_u1lP29eL8y9nH5vLzh09n7y4bLw0uDXnX637wg4IdSKmgxV4habVF03faK4kG3EA71Ss1OAmkB9HizlEH2tcvOmWvjt45p-8rlcVOY_EUgouU1mK7btsqEEZW8uU_5HVac6yPs0Jo7MxWK1UpPFI-p1IyDXbO4-TyD4tgD13ZY1cWDufalcU68-LOvO4m6u8n_pRTAXEESo3invLfq_9v_QVoPqD7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261879655</pqid></control><display><type>article</type><title>Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa?</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Zaitoun, Moustafa M. ; El Behery, Manal M. ; Abd El Hameed, Azza A. ; Soliman, Badeea S.</creator><creatorcontrib>Zaitoun, Moustafa M. ; El Behery, Manal M. ; Abd El Hameed, Azza A. ; Soliman, Badeea S.</creatorcontrib><description>Objectives
To evaluate the effectiveness of cervical length and the lower placental edge thickness measurement in predicting the risk of antepartum hemorrhage (APH) and emergency preterm cesarean delivery in women with complete placenta previa.
Methods
Fifty-four cases with confirmed diagnosis of complete placenta previa in third-trimester were subjected to transvaginal sonographic measurement of cervical length and lower placental edge thickness and correlated this to clinical outcome with regards to gestational age at delivery, ante partum hemorrhage, emergency cesarean section before 36 weeks due to massive hemorrhage and neonatal birth weight.
Results
Antepartum bleeding and emergency cesarean section rate before 36 weeks due to massive bleeding were significantly higher in cases with thick lower placental edge or central placenta than cases with thin lower placental edge [16 cases (53.3%) vs. 5 cases (20.8%)] for the former and [14 cases (46.6%) vs. 4 cases (16.6%) for the later]. Antepartum bleeding was observed in 18 cases (51.4%) when cervical length measurements ≤30 mm of whom 16 cases (88.9%) had showed severe attack necessitated emergency cesarean delivery before 36 weeks versus 4 cases (21.1%) with cervical length ≥30 mm. By combining cervical length with lower placental edge thickness measurement sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and accuracy increased to 83.3, 78.4, 53.4, 79.8 and 89.7%, respectively for the prediction of antepartum bleeding and emergency cesarean section <36 weeks using receiver-operating characteristics curve with area under the curve 0.882.
Conclusion
Short cervical length at cut-off value ≤30 mm and increased lower placental edge thickness measurements may predict with high accuracy the risk of APH and emergency preterm cesarean delivery in patients with complete placenta previa.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-010-1737-1</identifier><identifier>PMID: 21113721</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Cervical Length Measurement ; Cervix Uteri - diagnostic imaging ; Cervix Uteri - pathology ; Cesarean Section ; Egypt ; Emergency Treatment ; Endocrinology ; Female ; Gestational Age ; Gynecology ; Health risk assessment ; Hemorrhage ; Human Genetics ; Humans ; Materno-fetal Medicine ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Placenta ; Placenta Previa - diagnostic imaging ; Placenta Previa - pathology ; Predictive Value of Tests ; Pregnancy ; Pregnancy complications ; Pregnancy Outcome ; Pregnancy Trimester, Third ; Prospective Studies ; ROC Curve ; Sensitivity and Specificity ; Ultrasonography, Prenatal</subject><ispartof>Archives of gynecology and obstetrics, 2011-10, Vol.284 (4), p.867-873</ispartof><rights>Springer-Verlag 2010</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2010). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-ecad6dfcf50b0335041d51e65917d86c53170afeb5d55fa30e6f241bae806c143</citedby><cites>FETCH-LOGICAL-c371t-ecad6dfcf50b0335041d51e65917d86c53170afeb5d55fa30e6f241bae806c143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-010-1737-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-010-1737-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21113721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zaitoun, Moustafa M.</creatorcontrib><creatorcontrib>El Behery, Manal M.</creatorcontrib><creatorcontrib>Abd El Hameed, Azza A.</creatorcontrib><creatorcontrib>Soliman, Badeea S.</creatorcontrib><title>Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa?</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Objectives
To evaluate the effectiveness of cervical length and the lower placental edge thickness measurement in predicting the risk of antepartum hemorrhage (APH) and emergency preterm cesarean delivery in women with complete placenta previa.
Methods
Fifty-four cases with confirmed diagnosis of complete placenta previa in third-trimester were subjected to transvaginal sonographic measurement of cervical length and lower placental edge thickness and correlated this to clinical outcome with regards to gestational age at delivery, ante partum hemorrhage, emergency cesarean section before 36 weeks due to massive hemorrhage and neonatal birth weight.
Results
Antepartum bleeding and emergency cesarean section rate before 36 weeks due to massive bleeding were significantly higher in cases with thick lower placental edge or central placenta than cases with thin lower placental edge [16 cases (53.3%) vs. 5 cases (20.8%)] for the former and [14 cases (46.6%) vs. 4 cases (16.6%) for the later]. Antepartum bleeding was observed in 18 cases (51.4%) when cervical length measurements ≤30 mm of whom 16 cases (88.9%) had showed severe attack necessitated emergency cesarean delivery before 36 weeks versus 4 cases (21.1%) with cervical length ≥30 mm. By combining cervical length with lower placental edge thickness measurement sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and accuracy increased to 83.3, 78.4, 53.4, 79.8 and 89.7%, respectively for the prediction of antepartum bleeding and emergency cesarean section <36 weeks using receiver-operating characteristics curve with area under the curve 0.882.
Conclusion
Short cervical length at cut-off value ≤30 mm and increased lower placental edge thickness measurements may predict with high accuracy the risk of APH and emergency preterm cesarean delivery in patients with complete placenta previa.</description><subject>Adult</subject><subject>Cervical Length Measurement</subject><subject>Cervix Uteri - diagnostic imaging</subject><subject>Cervix Uteri - pathology</subject><subject>Cesarean Section</subject><subject>Egypt</subject><subject>Emergency Treatment</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Hemorrhage</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Materno-fetal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Placenta</subject><subject>Placenta Previa - diagnostic imaging</subject><subject>Placenta Previa - pathology</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Trimester, Third</subject><subject>Prospective Studies</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography, Prenatal</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFuFSEUhonR2Gv1AdwYEheuRs-BAeaujKmtmjRxo2vCZc7cTmVghJk2voTPLNdba2LiCsj_nQ_Cz9hzhNcIYN4UgBbaBhAaNNI0-IBtsJWiAYP4kG1ge9iDNifsSSnXACi6Tj9mJwIRpRG4YT_fJyrcU74ZvQs8UNwvV9zFni9XxEO6pczn4DzFpcbU76kGo_8WqRQ-kStrpqmG3KecKbil2m7HqvBhjL-VaV18moiPkXtXapyGCk9zoIXu1XzOdDO6t0_Zo8GFQs_u1lP29eL8y9nH5vLzh09n7y4bLw0uDXnX637wg4IdSKmgxV4habVF03faK4kG3EA71Ss1OAmkB9HizlEH2tcvOmWvjt45p-8rlcVOY_EUgouU1mK7btsqEEZW8uU_5HVac6yPs0Jo7MxWK1UpPFI-p1IyDXbO4-TyD4tgD13ZY1cWDufalcU68-LOvO4m6u8n_pRTAXEESo3invLfq_9v_QVoPqD7</recordid><startdate>20111001</startdate><enddate>20111001</enddate><creator>Zaitoun, Moustafa M.</creator><creator>El Behery, Manal M.</creator><creator>Abd El Hameed, Azza A.</creator><creator>Soliman, Badeea S.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20111001</creationdate><title>Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa?</title><author>Zaitoun, Moustafa M. ; El Behery, Manal M. ; Abd El Hameed, Azza A. ; Soliman, Badeea S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-ecad6dfcf50b0335041d51e65917d86c53170afeb5d55fa30e6f241bae806c143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Cervical Length Measurement</topic><topic>Cervix Uteri - diagnostic imaging</topic><topic>Cervix Uteri - pathology</topic><topic>Cesarean Section</topic><topic>Egypt</topic><topic>Emergency Treatment</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Gynecology</topic><topic>Health risk assessment</topic><topic>Hemorrhage</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Materno-fetal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Placenta</topic><topic>Placenta Previa - diagnostic imaging</topic><topic>Placenta Previa - pathology</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Trimester, Third</topic><topic>Prospective Studies</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zaitoun, Moustafa M.</creatorcontrib><creatorcontrib>El Behery, Manal M.</creatorcontrib><creatorcontrib>Abd El Hameed, Azza A.</creatorcontrib><creatorcontrib>Soliman, Badeea S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zaitoun, Moustafa M.</au><au>El Behery, Manal M.</au><au>Abd El Hameed, Azza A.</au><au>Soliman, Badeea S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa?</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>284</volume><issue>4</issue><spage>867</spage><epage>873</epage><pages>867-873</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Objectives
To evaluate the effectiveness of cervical length and the lower placental edge thickness measurement in predicting the risk of antepartum hemorrhage (APH) and emergency preterm cesarean delivery in women with complete placenta previa.
Methods
Fifty-four cases with confirmed diagnosis of complete placenta previa in third-trimester were subjected to transvaginal sonographic measurement of cervical length and lower placental edge thickness and correlated this to clinical outcome with regards to gestational age at delivery, ante partum hemorrhage, emergency cesarean section before 36 weeks due to massive hemorrhage and neonatal birth weight.
Results
Antepartum bleeding and emergency cesarean section rate before 36 weeks due to massive bleeding were significantly higher in cases with thick lower placental edge or central placenta than cases with thin lower placental edge [16 cases (53.3%) vs. 5 cases (20.8%)] for the former and [14 cases (46.6%) vs. 4 cases (16.6%) for the later]. Antepartum bleeding was observed in 18 cases (51.4%) when cervical length measurements ≤30 mm of whom 16 cases (88.9%) had showed severe attack necessitated emergency cesarean delivery before 36 weeks versus 4 cases (21.1%) with cervical length ≥30 mm. By combining cervical length with lower placental edge thickness measurement sensitivity, specificity, positive predictive value (PPV) negative predictive value (NPV) and accuracy increased to 83.3, 78.4, 53.4, 79.8 and 89.7%, respectively for the prediction of antepartum bleeding and emergency cesarean section <36 weeks using receiver-operating characteristics curve with area under the curve 0.882.
Conclusion
Short cervical length at cut-off value ≤30 mm and increased lower placental edge thickness measurements may predict with high accuracy the risk of APH and emergency preterm cesarean delivery in patients with complete placenta previa.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21113721</pmid><doi>10.1007/s00404-010-1737-1</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2011-10, Vol.284 (4), p.867-873 |
| issn | 0932-0067 1432-0711 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_889450273 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Cervical Length Measurement Cervix Uteri - diagnostic imaging Cervix Uteri - pathology Cesarean Section Egypt Emergency Treatment Endocrinology Female Gestational Age Gynecology Health risk assessment Hemorrhage Human Genetics Humans Materno-fetal Medicine Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Placenta Placenta Previa - diagnostic imaging Placenta Previa - pathology Predictive Value of Tests Pregnancy Pregnancy complications Pregnancy Outcome Pregnancy Trimester, Third Prospective Studies ROC Curve Sensitivity and Specificity Ultrasonography, Prenatal |
| title | Does cervical length and the lower placental edge thickness measurement correlates with clinical outcome in cases of complete placenta previa? |
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