Placenta Praevia, Placenta Praevia Accreta and Vasa Praevia: Diagnosis and Management
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Antepartum haemorrhage
nt matter & 2006 gyn.2006.01.003 thor. Tel.: +44 20 . [email protected] Summary Antepartum haemorrhage is bleeding from the genital tract in the second half of pregnancy. It continues to be an important cause of maternal and fetal mortality and morbidity. In those cases where a cause is identified, placental abruption and placenta praevia are two common responsible conditions. In the remaining h...
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It has been advocated that placenta accreta/percreta should be managed conservatively to avoid massive pelvic bleeding and preserve fertility. Diagnosis of this condition with high-resolution imaging investigations performed during the antenatal period facilitates discussion of management plans with other clinical disciplines (eg interventional radiologists), the patient, and her family. Three ...
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Vasa praevia is a rare but very dangerous obstetrical condition. The purpose of our article is to evaluate data available in literature that indicate in vitro fertilization as a risk factor for vasa praevia. PubMed Library and Cochrane Database were searched using the keywords vasa praevia, in vitro fertilization, velamentous cord insertion, placenta praevia. The conditions related to in vitro ...
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A velamentous umbilical cord is characterized by membranous umbilical vessels at the placental insertion site that are prone to compression and rupture, especially when they are located in the membranes covering the cervical os (vasa praevia). The velamentous insertion of the umbilical cord, with a reported incidence of 1% in singleton pregnancies and 15% in monochorionic twin gestations, has b...
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UNLABELLED Placenta praevia/accreta is associated with significant maternal morbidity and mortality and is a common cause of obstetric hysterectomy. This paper describes posterior retrograde abdominal hysterectomy, a new surgical technique for caesarean hysterectomy, in 11 women with placenta percreta, increta or accreta There were no intraoperative or postoperative maternal complications, and ...
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