Scoring system for the prediction of the severity of placenta accrete spectrum in women with placenta previa: a prospective observational study

2019 ◽  
Vol 300 (3) ◽  
pp. 783-791 ◽  
Author(s):  
Li Luo ◽  
Qiulei Sun ◽  
Demei Ying ◽  
Xiaohua Wu ◽  
Ping Yan ◽  
...  
Author(s):  
Manju Lata Verma ◽  
Uma Singh ◽  
Vandana Solanki ◽  
Amrita Singh ◽  
Rekha Sachan ◽  
...  

Background: This study was conducted to assess incidence, risk factors, maternal and fetal outcome in patients of placenta previa (PP).Methods: Department of Obstetrics and Gynecology, King George Medical University, Lucknow. Hospital based prospective observational study. Patients attending to the antenatal outdoor patient unit with diagnosis of PP and patients coming to emergency with the complaints of antepartum hemorrhage (APH) because of placenta previa. Detailed history, clinical examination, imaging by transabdominal ultrasound, antenatal complications, per-operative findings, maternal and fetal outcome were assessed. Qualitative variables were compared using Chi square test/ Fisher’s exact test as appropriate. Statistical analysis was done using SPSS version 21.Results: Incidence of PP was 2.8% (271/9404). Mean age was 28.23±4.58 years. 37.3%, delivered between 28-33.6 weeks. 229 (84.5%) had emergency LSCS. 205 (75.6%) cases of placenta previa had active bleeding. 53 (19.6%) cases had PPH and 2 maternal mortalities occurred due to hemorrhagic shock.Conclusions: Placenta previa is associated with definitely poor maternal and fetal outcome which can be better managed with multidisciplinary team work.


2017 ◽  
Vol 58 (6) ◽  
pp. 453 ◽  
Author(s):  
Sundaramoorthy VijayGanapathy ◽  
VIlvapathy Senguttuvan Karthikeyan ◽  
Jayaram Sreenivas ◽  
Ashwin Mallya ◽  
Ramaiah Keshavamurthy

2021 ◽  
pp. 004947552110301
Author(s):  
Pushkar Sharma ◽  
Ankit Jain ◽  
Gomathi Shankar ◽  
Sreerekha Jinkala ◽  
Uday S Kumbhar ◽  
...  

Our prospective observational study, enrolling 167 patients undergoing emergency appendicectomy, served to evaluate the Alvarado, Tzanakis and RIPASA diagnostic scores. The latter was found to be a better scoring system because of its higher diagnostic accuracy. At centres with limited expertise in ultrasonography, RIPASA outperforms the Tzanakis score. Although easy to use, the Alvarado score was useful only to ‘rule in’ cases with AA with significant accuracy but at the cost of low sensitivity. It cannot be effectively used in triaging.


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