Trends, characteristics, and outcomes of placenta accreta spectrum: A national study in the United States

Author(s):  
Shinya Matsuzaki ◽  
Rachel S. Mandelbaum ◽  
Rauvynne N. Sangara ◽  
Lauren E. McCarthy ◽  
Nicole L. Vestal ◽  
...  
Author(s):  
Rajuddin Rajuddin ◽  
Roziana Roziana ◽  
Munawar Munawar ◽  
Muhammad Iqbal

Background: Placenta accreta spectrum is one of the most serious complications of placenta previa and is frequently associated with severe obstetric hemorrhage usually necessitating hysterectomy. The management of placenta accrete spectrum will be discussed here and is essentially the same. The following discussion of management of placenta accreta spectrum applies to all depths of placental invasion. Incidence: In 1950 placentaaccreta was rare, occurring 1 in 30.000 deliveries in the United States. Duringbetween 2008 and 2011 in a cohort of over 115.000 deliveries in 25 hospitals in the United States reaching 1 in 731 deliveries. The marked increase has been attributed to the increasing prevalence of cesarean delivery in recent decades.The incidence of placenta accreta spectrum will also increase due to increasing of caesarean section rate. Case: Mrs.44 yo, G3P2 36-37weekslive, previous cesarean section 2 time,placenta previa totalis, placenta percreta. She’s comes with a chief complaint of lower abdominal cramps, patients regularly antenatal care at obstetrician. Ultrasound finding, a single fetus lives at transvers lie, dorso superior, corresponding to 36-37 weeks, placenta previa, placenta percreta (PAI:83%). This patient planned for elective conservative surgery management, due to cesarean section and or cesarean hysterectomy. Discussion:Surgical conservative management giving birth a baby without a placenta, followed by a hysterectomy, has been shown to reduce the risk of bleeding and the need for blood transfusion. The discovery of placenta accreta spectrum earlier when antenatal care, better birth planning than multidisciplinary science includedfetomaternal, gyneco-oncologist, anesthesiologist, thorac& cardiovascular surgeon, radiology intervention, intensivist - obstetric intensive care, urologist and neonatology can determine the success of handling cases of placenta accreta spectrum so as to reduce maternal, fetal morbidity and mortality. Conclusions:  The discovery of placenta accreta spectrum earlier when antenatal care, planning delivery is better than multidisciplinary science. Management with corporal incisions away from placental implantation, giving birth baby without a placenta, followed by a hysterectomy, has been shown to reduce the risk of bleeding and the need for blood transfusion.


Author(s):  
Mary Johnson ◽  
Patricia Wittberg ◽  
Mary Gautier ◽  
Thu Do

This book presents quantitative and qualitative data from the first-ever national study of international Catholic sisters in the United States, the Trinity Washington University/CARA Study. International sisters are defined as those born outside the United States and currently ministering, studying, or in residence in this country. The book begins with a chapter that locates current international sisters in the long line of sisters who have come to this country since the eighteenth century. The book identifies the sisters of today, describes the pathways they used to come here, their levels of satisfaction, their concerns and contributions, the issue of immigration status, the challenges of sister students, and the role and mission of Catholic organizations assisting immigrants in general, and international sisters in particular. The book ends with implications of the research and recommendations regarding resources, ministries, and structures of support for international sisters.


2018 ◽  
Vol 23 (4) ◽  
pp. 425-449 ◽  
Author(s):  
Kraig Beyerlein ◽  
Peter Ryan ◽  
Aliyah Abu-Hazeem ◽  
Amity Pauley

On January 21, 2017, over four hundred cities across the United States organized sister marches in solidarity with the Women's March on Washington. In this paper, we first compare the size of these marches to that of several significant protest-event sources to show how extraordinary turnout was that day. Then, analyzing a nationally representative sample of sister marches, we present univariate statistics for both event-level characteristics (such as demographics of participants or types of speakers) and mobilization processes (such as composition of organizing teams or recruitment efforts). We situate the descriptive findings in the broader literature on protest events and the women's movement to identify how they converge or diverge from established patterns. In addition, our study shows that many event-level characteristics of the sister marches were distinct relative to a recent national study of protests. Also discussed are the ways in which our results contribute to understanding the sister marches' success in mobilizing millions of people to take to the streets.


1999 ◽  
Vol 60 (2) ◽  
pp. 153-163 ◽  
Author(s):  
Lois Kuyper-Rushing

In an attempt to create a new tool to aid librarians in choosing music journals, citations from music dissertation bibliographies submitted in 1993 from across the United States were gathered and analyzed. Core lists of journals were developed and then compared to lists compiled by analyzing doctoral dissertation bibliographies in the field of music from a single institution. The journal lists from a national study differed from those derived from the study of journals used at a single institution. Also, newly published journals are used regularly by doctoral students in music, and several are on the lists of core journals compiled.


2019 ◽  
Vol 156 (6) ◽  
pp. S-837-S-838
Author(s):  
Emad Mansoor ◽  
Chiara Maruggi ◽  
Mohannad Abou Saleh ◽  
Gerard A. Isenberg ◽  
Richard C. Wong ◽  
...  

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