Diagnosis in the first trimester of placenta accreta with previous Cesarean section

Abstract Purpose: The present study investigated whether first trimester mean arterial blood pressure (MAP) differed among pregnancies with placenta accreta and healthy pregnancies.Methods: We recruited 176 pregnant females totally from 1 January 2016 to 30 September 2018 in this study, as follows: 65 cases of placenta accreta and 111 cases of BMI and age matched, healthy pregnant controls. First trimester mean arterial blood pressure (MAP) were acquired from laboratory data files. Multiple logistic regression analysis were used to study analyzed the probable risk predictor of placenta accreta. Results: The performance of MAP was lower in healthy pregnancies. The MAP of the placenta accreta group was significantly higher than that of the cont rol group (p=0.001<0.05). Our results also showed that MAP was significantly positively associated with placenta accreta after adjusting for age, BMI, fertilization type, gestational week at time of blood pressure measurement, and previous cesarean section history (odds ratio [β]: 1.11; 95% confidence interval [CI]: 1.04–1.69; p=0.0013<0.05). In addition, smoking during pregnancy (β: 7.57; 95% CI: 1.41–40.72; p=0.018<0.05) and previous cesarean section history (β: 2.57; 95% CI: 1.19–5.54; p=0.016<0.05) were significantly positively associated with placenta accreta.Conclusions: Increased first trimester MAP was significantly positively associated with placenta accreta, suggesting the potential role of MAP in identifying high-risk pregnancies for placenta accreta. Smoking during pregnancy and previous cesarean section history may be risk factors for placenta accreta.

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First trimester mean arterial blood pressure is associated with placenta accreta: a retrospective study

10.21203/rs.3.rs-151562/v1 ◽

2021 ◽

Author(s):

Fengge Wang ◽

Miaomiao Qu ◽

Liangxi Zhu ◽

Fangxiang Dong ◽

Miao Liu ◽

...

Keyword(s):

Blood Pressure ◽

Cesarean Section ◽

Mean Arterial Blood Pressure ◽

Placenta Accreta ◽

First Trimester ◽

Previous Cesarean Section ◽

Smoking During Pregnancy ◽

Arterial Blood ◽

Medical University ◽

Previous Cesarean

Abstract Objective The present study investigated whether first trimester mean arterial blood pressure (MAP) differed among pregnancies with placenta accreta and healthy pregnancies. Methods We recruited 152 pregnant females from 1 January 2016 to 30 January 2020 in the Affiliated Hospital of Jining Medical University in this study, including 41 cases of placenta accreta pregnancies and 111 cases of BMI- and age-matched healthy pregnant controls. First trimester MAPs were acquired from laboratory data files of the Affiliated Hospital of Jining Medical University. Multiple logistic regression analysis was used to analyze the probable risk predictor of placenta accreta. Results The performance of MAP was lower in healthy pregnancies. The MAP of the placenta accreta group was significantly higher than that of the control group (p = 0.001 < 0.05). Our results also showed that MAP was significantly positively associated with placenta accreta after adjusting for age, BMI, fertilization type, gestational week at time of blood pressure measurement, and previous cesarean section history (odds ratio [OR]: 1.11; 95% confidence interval [CI]: 1.04–1.69; p = 0.0013 < 0.05). In addition, smoking during pregnancy (OR: 7.57; 95% CI: 1.41–40.72; p = 0.018 < 0.05) and previous cesarean section history (OR: 2.57; 95% CI: 1.19–5.54; p = 0.016 < 0.05) were significantly positively associated with placenta accreta. Conclusions Increased first trimester MAP was significantly positively associated with placenta accreta, suggesting the potential role of MAP in identifying high-risk pregnancies for placenta accreta. Smoking during pregnancy and previous cesarean section history may be risk factors for placenta accreta.

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Prediction of Delivery Complications by First-Trimester Ultrasound Measurement of the Gestational Sac's Distance From a Previous Cesarean Section Scar

Obstetrical & Gynecological Survey ◽

10.1097/01.ogx.0000725688.85277.5b ◽

2021 ◽

Vol 76 (1) ◽

pp. 13-14

Author(s):

Cong Li ◽

Pan Yang ◽

Hong Luo

Keyword(s):

Cesarean Section ◽

First Trimester ◽

Ultrasound Measurement ◽

Previous Cesarean Section ◽

Delivery Complications ◽

First Trimester Ultrasound ◽

Previous Cesarean

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PREGNANCY OUTCOME OF WOMEN WITH PREVIOUS CESAREAN SECTION ACCORDING TO PLACENTAL LOCATION IN FIRST TRIMESTER SONOGRAPHY

Journal of Pharmaceutical and Scientific Innovation ◽

10.7897/2277-4572.034163 ◽

2014 ◽

Vol 3 (4) ◽

pp. 315-318

Author(s):

Mojgan Barati ◽

Azam Malekghasemi ◽

Razieh Mohammad Jafari ◽

Sara Masihi ◽

Najmieh Saadati ◽

...

Keyword(s):

Cesarean Section ◽

Pregnancy Outcome ◽

First Trimester ◽

Previous Cesarean Section ◽

Previous Cesarean

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Relationship Between the Second Trimester Maternal Serum AFP of Aneuploidy in Pregnancies and Placenta Accreta: A Cohort Study

10.21203/rs.3.rs-554257/v1 ◽

2021 ◽

Author(s):

Fengge Wang ◽

Longchun Su ◽

Ruixia Zhai ◽

Miao Liu ◽

Fangxiang Dong ◽

...

Keyword(s):

High Risk ◽

Cesarean Section ◽

Placenta Accreta ◽

Placenta Previa ◽

Laboratory Data ◽

Maternal Serum ◽

Second Trimester ◽

Previous Cesarean Section ◽

Diagnostic Challenge ◽

Previous Cesarean

Abstract Objectives At present, placenta previa-accreta is a growing concern and is still a diagnostic challenge for obstetricians. This study aimed to investigated whether second trimester serum Alpha-fetoprotein (AFP) differed among pregnancies with placenta previa-accreta and placenta previa controls and healthy pregnant controls. Methods A retrospective chart review was performed. In 1 January 2016–30 February 2021, a total of 504 pregnant women were identified and included in our analysis as follows: 105 cases of placenta previa-accreta, 122 cases of placenta previa controls, and 277 cases of BMI-matched, healthy pregnant controls. AFP multiples of the median (MoM) were acquired from laboratory data files. Results AFP MoM of placenta previa-accreta group was significantly higher than those of the placenta previa controls and healthy pregnant controls group (p < 0.001, p < 0.001). Serum AFP was significantly positively associated with placenta accreta after adjusted age, BMI, and gestational week at time of blood sampling (β: 0.60; 95% CI: 0.52–0.68; p < 0.001). In addition, previous cesarean section history (β: 3.41; 95% CI: 2.18–5.34; p < 0.001) was also significantly associated with placenta accreta. Conclusion Increased second trimester serum AFP was significantly positively associated with placenta accreta. Such finding suggests the potential role of AFP in identifying pregnancies that are at high risk for placenta accreta. Second trimester biomarker of AFP can be used to raise a suspicion toward characterizing women into high-risk and low-risk groups for placenta accreta. In addition, previous cesarean section history may be a risk factor for accreta in placenta previa patients.

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