Ultrasound Placental Localisation in Early Pregnancy

1987 ◽  
Vol 32 (1) ◽  
pp. 19-21 ◽  
Author(s):  
A. T. Khan ◽  
K.S. Stewart
Keyword(s):  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Clinical Significance ◽  
Early Pregnancy ◽  
Fetal Development ◽  
Placenta Previa ◽  
Consecutive Case ◽  
Antepartum Haemorrhage

A retrospective study of 400 consecutive case records was made to establish the clinical significance of the low lying placenta found on ultrasound. Diagnostic accuracy is discussed. 30% of the patients had a low lying placenta on early scan. Of these, 73% had a follow up scan. There was a progressive drop in the incidence of low lying placentae through pregancy until at term, in this study, there was no placenta previa. It is considered that a repeat scan is necessary to exclude placenta previa, but not until 34 weeks gestation. Amongst the patients with early low lying placentae the incidence of antepartum haemorrhage of indeterminate type was significantly high (P<0.001). A careful surveillance of these patients is therefore required. Dynamic placental migration may be the cause of this bleeding. Further study is necessary to determine the effect of early placental position on subsequent fetal development.

scholarly journals Importance of placental localisation in early pregnancy

1970 ◽  
Vol 2 (2) ◽  
pp. 16-19
Author(s):  
Veena Agrawal ◽  
Sonal Kulshresta
Keyword(s):  
Pregnant Women ◽  
Key Words ◽  
Early Pregnancy ◽  
Placenta Previa ◽  
Placenta Praevia ◽  
Cesarean Sections ◽  
Third Trimester ◽  
Threatened Abortion ◽  
D 20

Objectives: To determine the incidence and rate of persistence of placenta praevia diagnosed as low lying placenta in d" 20 weeks' gestation using sonography (USG) and to establish its' co-relation with pregnancy outcome. Methods: Randomized 230 pregnant women studied by USG at d" 20weeks gestation. Among them 42 were recruited for study as they were having low lying placenta. These cases were rescanned at e" 28 weeks. Results: In 230 cases, the incidence of low lying placenta at d" 20weeks was18.26% (42/230); 90.5% had lateral, 2.4% had marginal and 7.1% had total placenta praevia. A total of 26 (61.9%) cases, had threatened abortion and two patients aborted. On longitudinal follow-up, 80% of remaining 40 cases had normally situated placenta at rescan. However those with total placenta praevia at d" 20weeks persisted as such with 100% persistence while only 10.5% with lateral low lying placenta persisted. APH was presentation in 3(7.1%), all of them undergoing cesarean sections for placenta praevia. Conclusion: Ultrasonography at < 20 weeks gestation showing low lying placenta has been useful in predicting placenta praevia at third trimester. Total placenta at this gestation has invariably persisted as placenta previa at third trimester. Key words: Placenta, Low lying Placenta, Placenta Praevia, APH  doi:10.3126/njog.v2i2.1449 N. J. Obstet. Gynaecol 2007 Nov-Dec; 2 (2): 16 - 19

A RETROSPECTIVE STUDY OF ANTEPARTUM HAEMORRHAGE AND ITS MATERNAL AND FETAL OUTCOME

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Sudesh Agrawal ◽  
Satish Kumar ◽  
Angurbala Patidar
Keyword(s):  
Retrospective Study ◽  
Genital Tract ◽  
Placenta Previa ◽  
Fetal Outcome ◽  
Study Group ◽  
Retrospective Evaluation ◽  
Factors Associated ◽  
Antepartum Haemorrhage ◽  
Rural And Urban ◽  
Rural And Urban Area

Introduction : Antepartum haemorrhage (APH) is defined as bleeding from or into the genital tract, occurring from 20 weeks of pregnancy and prior to the birth of baby. On an average 3-5% of all pregnancies are complicated by antepartum haemorrhage. Therefore we conducted this study to evaluate factors associated with antepartum haemorrhage and retrospective evaluation of maternal and fetal morbidity and mortality. Material & Methods : This is a retrospective hospital based study carried out from the period November 2017 onwards and included 400 cases. Antepartum haemorrhage is defined as bleeding from or in to the genital tract, occurring from 20 weeks of pregnancy and prior to the birth of the baby. Results : Mean age in study group was 25.85±5.13 years ranging from 19-41 years. 269 and 131 cases belonged to rural and urban area respectively. Mean gestational age was 35.34±3.46 weeks ranging between 20-41 weeks. In present study, 344 cases had LSCS delivery while 27 cases were delivered normally, 25 cases had hysterectomy while 4 cases had LSCS followed by hysterectomy. Abruptio type was present in 194(48.5%), placenta previa was present in 196(49%) of cases while other was present in 10(2.5%) of cases. Conclusion : In this study we found that the incidence of APH is more in multigravida (66.7%) than in primigravida.

scholarly journals Diagnostic accuracy of non-contrast abdominal CT scans performed as follow-up for patients with an established cancer diagnosis: a retrospective study

2017 ◽  
Vol 57 (3) ◽  
pp. 426-430 ◽  
Author(s):  
Hassan Semaan ◽  
Mohamad F. Bazerbashi ◽  
Geoffrey Siesel ◽  
Paul Aldinger ◽  
Tawfik Obri
Keyword(s):  
Retrospective Study ◽  
Diagnostic Accuracy ◽  
Cancer Diagnosis ◽  
Ct Scans ◽  
Abdominal Ct

Evaluation of Normal Heart Rate in Early Pregnancy Corresponding to Gestational Age between Six to Eight Weeks

Med Phoenix ◽  
2017 ◽  
Vol 2 (1) ◽  
pp. 34-37
Author(s):  
Akhilesh Kumar Jha ◽  
Bikranta Rimal ◽  
Tarannum Khatun
Keyword(s):  
Heart Rate ◽  
Early Pregnancy ◽  
Well Being ◽  
Clinical Decision ◽  
First Trimester ◽  
Normal Heart ◽  
Normal Heart Rate ◽  
First Trimester Of Pregnancy ◽  
Singleton Pregnancies

Background: Ultrasonography is the reliable and safe way for the evaluation of pregnancy. Heart rate can be detected more confidently from the Ultrasonography. Heart rate is an important parameter for the evaluation of early pregnancy. The purpose of this study was to evaluate the normal heart rate in embryos/fetuses between 6 and 8 weeks of gestation.Method: In our region people are poor and most of them do not know the benefit of regular follow up examination during pregnancy. So most of pregnant women come to our centre at late stage of pregnancy. The number of pregnancy cases is good in our centre but the number of early pregnancy cases coming to regular follow up examination is low. Thus the study was conducted in 51 normal singleton pregnancies undergoing routine ultrasound examination during the first trimester of pregnancy. The duration of study was 6 weeks.Result: Out of 51 singleton pregnancies, 20 cases (39.2%) heart rate were between 131-150 beat per minute and 25 cases (49.0 %) heart rate were between 151-170 beat per minute. However 4 cases (7.8%) were between 110-120 beat per minute and 2 cases (3.9%) were more than 171 beat per minute. There were zero cases above the 180 beat per minute.Conclusion: The result of this study will help to evaluate abnormal and normal fetal heart rate so that early clinical decision whether to continue the pregnancy or terminate it can be taken, as Ultrasonography is only the method used in screening fetal well being in most of the region of our country.Med Phoenix Vol.2(1) July 2017, 34-37

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