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• W2058668512 abstract "To generate a combined ultrasound and clinical model predictive for peripartum complications in pregnancies complicated by placenta previa.This study included 110 singleton pregnant women with placenta previa delivered by cesarean section (CS) from July 2011 to November 2013. We prospectively collected ultrasound and clinical data before CS and observed the occurrence of blood transfusion, uterine artery embolization and cesarean hysterectomy. We formulated a scoring model including type of previa (0: partials, 2: totalis), lacunae (0: none, 1: 1-3, 2: 4-6, 3: whole), uteroplacental hypervascularity (0: normal, 1: moderate, 2: severe), multiparity (0: no, 1: yes), history of CS (0: none, 1: once, 2: ≥ twice) and history of placenta previa (0: no, 1: yes) to predict the risk of peripartum complications.In our study population, the risk of perioperative transfusion, uterine artery embolization, and cesarean hysterectomy were 26.4, 1.8 and 6.4%, respectively. The type of previa, lacunae, uteroplacental hypervascularity, parity, history of CS, and history of placenta previa were associated with complications in univariable analysis. However, no factor was independently predictive for any complication in exact logistic regression analysis. Using the scoring model, we found that total score significantly correlated with perioperative transfusion, cesarean hysterectomy and composite complication (p<0.0001, Cochrane Armitage test). Notably, all patients with total score ≥7 needed cesarean hysterectomy. When total score was ≥6, three fourths of patients needed blood transfusion.This combined scoring model may provide useful information for prediction of peripartum complications in women with placenta previa." @default.
• W2058668512 created "2016-06-24" @default.
• W2058668512 creator A5010885552 @default.
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• W2058668512 date "2014-09-01" @default.
• W2058668512 modified "2023-09-30" @default.
• W2058668512 title "A combined ultrasound and clinical scoring model for the prediction of peripartum complications in pregnancies complicated by placenta previa" @default.
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• W2058668512 doi "https://doi.org/10.1016/j.ejogrb.2014.06.030" @default.
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