Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377014832> ?p ?o ?g. }
Showing items 1 to 60 of
60
with 100 items per page.
- W4377014832 endingPage "34S" @default.
- W4377014832 startingPage "34S" @default.
- W4377014832 abstract "INTRODUCTION: Our objective was to determine whether placental evaluation in the second trimester is sufficient to look for evidence of placenta accreta in those with prior cesarean delivery (CS). METHODS: Those with prior CS who underwent routine ultrasound (US) at 18–22 weeks in 2021 and delivered in our hospital were identified. Records were reviewed for history and US findings, and delivery records were reviewed to identify those with clinical or pathological evidence of accreta. Fisher’s exact test and Mann-Whitney U were used for statistical comparison. RESULTS: Eight hundred seventy-one patients were included, including 145 (17%) with multiple CS. There were 11 with confirmed accreta (1.3%): 7 requiring hysterectomy and 4 with myometrial fibers on placental pathology. Of 11 cases of accreta, only 4 (36%) had US findings in the second trimester, representing 57% of cases requiring hysterectomy. Cases without suspicious second-trimester findings all had other major risk factors, such as previa (n=3) or additional uterine scars such as prior B-Lynch suture (2), “T” incision (1), and Asherman syndrome (1). Overall, second-trimester US was accurate in 99.1% of cases. Of 8 inaccurate cases (7 false negative, 1 false positive) previa was noted in 4 (50%), versus 7.4% with accurate assessment ( P =.002). There was no relationship between age, body mass index, or number of prior CS and accuracy of second-trimester US. CONCLUSION: Ultrasound findings were not identified in the second trimester in the majority of cases with accreta, although findings were noted in the majority requiring hysterectomy. All cases without second-trimester findings had previa or additional risk factors for scarring. Third-trimester US to screen for placenta accreta may not be necessary in all those with prior CS if second-trimester US is normal. Those at highest risk should undergo third-trimester imaging. If there is a selective approach to third-trimester US, a detailed history is important in identifying those with risk factors." @default.
- W4377014832 created "2023-05-19" @default.
- W4377014832 creator A5040500360 @default.
- W4377014832 creator A5091971586 @default.
- W4377014832 date "2023-05-01" @default.
- W4377014832 modified "2023-09-30" @default.
- W4377014832 title "Second-Trimester Screening for Placenta Accreta in Those With Prior Cesarean Delivery [ID: 1380253]" @default.
- W4377014832 doi "https://doi.org/10.1097/01.aog.0000930152.75476.fb" @default.
- W4377014832 hasPublicationYear "2023" @default.
- W4377014832 type Work @default.
- W4377014832 citedByCount "0" @default.
- W4377014832 crossrefType "journal-article" @default.
- W4377014832 hasAuthorship W4377014832A5040500360 @default.
- W4377014832 hasAuthorship W4377014832A5091971586 @default.
- W4377014832 hasConcept C131872663 @default.
- W4377014832 hasConcept C141071460 @default.
- W4377014832 hasConcept C172680121 @default.
- W4377014832 hasConcept C191093355 @default.
- W4377014832 hasConcept C2776953305 @default.
- W4377014832 hasConcept C2779116671 @default.
- W4377014832 hasConcept C2779234561 @default.
- W4377014832 hasConcept C2779494336 @default.
- W4377014832 hasConcept C2780081364 @default.
- W4377014832 hasConcept C29456083 @default.
- W4377014832 hasConcept C54355233 @default.
- W4377014832 hasConcept C71924100 @default.
- W4377014832 hasConcept C86803240 @default.
- W4377014832 hasConceptScore W4377014832C131872663 @default.
- W4377014832 hasConceptScore W4377014832C141071460 @default.
- W4377014832 hasConceptScore W4377014832C172680121 @default.
- W4377014832 hasConceptScore W4377014832C191093355 @default.
- W4377014832 hasConceptScore W4377014832C2776953305 @default.
- W4377014832 hasConceptScore W4377014832C2779116671 @default.
- W4377014832 hasConceptScore W4377014832C2779234561 @default.
- W4377014832 hasConceptScore W4377014832C2779494336 @default.
- W4377014832 hasConceptScore W4377014832C2780081364 @default.
- W4377014832 hasConceptScore W4377014832C29456083 @default.
- W4377014832 hasConceptScore W4377014832C54355233 @default.
- W4377014832 hasConceptScore W4377014832C71924100 @default.
- W4377014832 hasConceptScore W4377014832C86803240 @default.
- W4377014832 hasIssue "5S" @default.
- W4377014832 hasLocation W43770148321 @default.
- W4377014832 hasOpenAccess W4377014832 @default.
- W4377014832 hasPrimaryLocation W43770148321 @default.
- W4377014832 hasRelatedWork W2439063832 @default.
- W4377014832 hasRelatedWork W2884519418 @default.
- W4377014832 hasRelatedWork W2993092692 @default.
- W4377014832 hasRelatedWork W2997580452 @default.
- W4377014832 hasRelatedWork W3189389398 @default.
- W4377014832 hasRelatedWork W4200355012 @default.
- W4377014832 hasRelatedWork W4246879539 @default.
- W4377014832 hasRelatedWork W4248077533 @default.
- W4377014832 hasRelatedWork W4377014832 @default.
- W4377014832 hasRelatedWork W2739363076 @default.
- W4377014832 hasVolume "141" @default.
- W4377014832 isParatext "false" @default.
- W4377014832 isRetracted "false" @default.
- W4377014832 workType "article" @default.