scholarly journals Intrauterine Inflated Foley’s Catheter Balloon in the Management of Abnormally Invasive Placenta Previa: A Case–Control Study

2017 ◽  
Vol 68 (3) ◽  
pp. 185-191 ◽  
Author(s):  
Mahmoud Thabet ◽  
Mohamed Sayed Abdelhafez ◽  
Emad Ahmed Fyala
Author(s):  
Alexander Schwickert ◽  
Frédéric Chantraine ◽  
Loreen Ehrlich ◽  
Wolfgang Henrich ◽  
Mustafa Zelal Muallem ◽  
...  

Abstract The aim of this study was to test if maternal serum vascular endothelial growth factor (VEGF) or N-terminal pro B-type natriuretic peptide (NT-proBNP) predicts abnormally invasive placenta (AIP) better. Secondary objective was to test whether the serum levels of VEGF and NT-proBNP can predict the degree of invasion. In a multicenter case–control study design, gestational age-matched serum samples from pregnant women with AIP (n = 44) and uncomplicated pregnancies (n = 55) who had been enrolled at Charité – Universitätsmedizin Berlin, Germany and Centre Hospitalier Régional de la Citadelle in Liège, Belgium were analyzed. Maternal blood serum VEGF and NT-proBNP levels were immunoassayed from samples taken immediately before delivery (GA median: 35 weeks). Biomarker levels were compared between AIP and control group. The correlation of biomarker levels with the clinical AIP degree was assessed. The predictive biomarker ability was characterized through a multivariate regression model and receiver operating characteristic curves. Women with AIP had significantly lower maternal serum VEGF levels (AIP mean 285 pg/ml, 95% CI 248–322, vs. control: 391 pg/ml, 95% CI 356–426, p < 0.01) and higher NT-proBNP levels (AIP median 329 pg/ml, IQR 287–385, vs. control 295 pg/ml, IQR 273–356, p = 0.03). Maternal serum VEGF levels were able to predict AIP better (AUC = 0.729, 0.622–0.836, p < 0.001; VEGF + number of previous cesarean deliveries: AUC = 0.915, 0.853–0.977, p < 0.001). Maternal serum VEGF levels correlated inversely with the clinical AIP degree (r = − 0.32, p < 0.01). In short, maternal serum VEGF, more than NT-proBNP, can help in predicting AIP and hints at the degree of invasion.


2016 ◽  
Vol 87 (5) ◽  
pp. 367-371 ◽  
Author(s):  
Ali O. Ersoy ◽  
Sibel Ozler ◽  
Efser Oztas ◽  
Ebru Ersoy ◽  
Ayse Kirbas ◽  
...  

2016 ◽  
Vol 118 ◽  
pp. 122-123 ◽  
Author(s):  
Masayuki Yamaguchi ◽  
Taeko Hyuga ◽  
Kunihiko Yoshida ◽  
Mina Itsukaichi ◽  
Taro Nonaka ◽  
...  

2017 ◽  
Vol 4 (06) ◽  
pp. 1411
Author(s):  
Fatemeh Shobeiri ◽  
Ensiyeh Jenabi ◽  
Manoochehr Karami ◽  
Simin Karimi

Background: The risk factors of placenta previa differ around the world. This study evaluated risk factors of pregnancies complicated with placenta previa during a 5-year period in a referral center in Hamadan, Iran. Methods: This case control study was conducted in Hamadan city (Hamadan Province of Iran) from April 2013 to March 2017. The cases were women whose deliveries were complicated by placenta previa and the controls were those who delivered without placenta previa. We recruited 130 cases and 130 controls. Multivariate unconditional logistic regression analysis was conducted, and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. Results: The OR of placenta previa was 4.08 (95% CI= 1.44, 11.58) by maternal age, 4.08 (95% CI =1.44, 11.58) by preterm labor, and 6.64 (95% CI =1.09, 40.45) by prior operations of the uterine cavity, compared to normal deliveries and after adjusting for other variables. Multiparity, prior spontaneous abortions, and prior cesarean sections were not statistically significant risk factors for placenta previa, when adjusted for other variables.  Conclusion: Our study suggests that high maternal age and prior operations of the uterine cavity are risk factors for placenta previa.


2006 ◽  
Vol 13 (01) ◽  
pp. 51-53
Author(s):  
ASLAM MAHMOOD MALIK ◽  
ASIA AZIZ ◽  
ABIDA RIAZ ◽  
Capt (R) Ijaz Ahmad Shah

Objectives: To assess the various factors associated with breech delivery at term. Design: Casecontrol study. Period: Apr 2004 to Sep 2004 Setting: Department of Obstetrics & Gynaecology unit-I, Bahawal VictoriaHospital Bahawalpur. Materials & Methods: This case control study was carried out in women with the age group 20-40 years. Various risk factors (Parity, multiple pregnancy, placenta Previa, amount of liquor and congenitalabnormalities) associated with breech (50 cases) at term (37-42 completed weeks) were compared with vertex (50controls) after matching. Results: Different factors associated with breech were oligohydramnios 44% vs controlgroup, placenta previa 34% vs control group, primiparity 46% vs control group, multiple pregnancy 14% vs controlgroup and congenital abnormalities 18% vs control group. Conclusion: Our study concluded that factors associatedwith breech delivery were oligohydramnios, placenta previa, multiparty, multiple pregnancy & congenital abnormalities.


Author(s):  
Xie Yaping ◽  
Liu Chunhong ◽  
Zhao Huifen ◽  
Huang Fengfeng ◽  
Huang Huibin ◽  
...  

Abstract Objectives The prevalence of gestational diabetes mellitus (GDM) has increased year-after-year globally, especially in low-income and developing countries. This study aims to identify the prevalence of GDM, the risk factors, and the effect on pregnancy outcome based on a retrospective case-control study. Methods Two hundred ninety-three parturients with GDM who delivered in a general hospital in Fujian province and met the inclusion criteria were selected as the case group from January to June 2018. Two hundred ninety-three parturients without GDM who delivered in the same period served as the control group. Risk factors for GDM were determined by univariate and binary logistic regression analysis. The prevalence of pregnancy outcomes was determined by a chi-square test. Results The prevalence of GDM was 15.69%. The percentages of 1, 2, and 3 abnormal OGTT values were 55.6%, 30.7%, and 13.7%, respectively. Gravidas with GDM have a higher risk of macrosomia, polyhydramnios, pre-eclampsia, placenta previa, and gestational hypertension than gravidas without GDM (p < 0.05). Analysis of the factors influencing the development of GDM was advanced age, married, parents with a history of diabetes, gestational hypertension, and number of abortions. Conclusions The prevalence of GDM was 15.69% in this geographic region, and > 50% of the patients had one abnormal OGTT value. The risk factors for GDM were advanced age, parents with diabetes, gestational hypertension, and the number of abortions. Pregnancy outcomes of the two groups of patients were different with respect to macrosomia, polyhydramnios, pre-eclampsia, placenta previa, and hypertensive disorders of pregnancy.


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