Cervical length and risk of antepartum hemorrhage in presence of low-lying placenta.
Publication/Presentation Date
4-1-2013
Abstract
OBJECTIVES: To evaluate whether transvaginal ultrasound cervical length (TVU CL) can predict antepartum bleeding (APB) in women with low-lying placenta.
STUDY DESIGN: A retrospective study was performed including pregnancies with low-lying placenta for which third trimester TVU CL was available. Multiple pregnancies were excluded. Short cervix was defined as TVU CL ≤25 mm. Outcomes of interest were compared with respect to the TVU CL.
RESULTS: Forty three cases of singleton pregnancies complicated by low-lying placenta in third trimester were identified. Short cervix was reported in 8 cases (19%). APB (75% vs. 31 %, p = 0.02), blood transfusions (25% vs. 3%, p = 0.02), lower birth weight (2246 vs. 2985 g, p = 0.02), and neonatal intensive care unit (NICU) admissions (50% vs. 17%, p = 0.04) were more frequent in the women with short cervix. Rate of unplanned cesarean delivery for APB was similar between both the groups (25% vs. 28%, p = 0.83).
CONCLUSIONS: In women with low-lying placenta persisting into third trimester, short cervical length can be used as a predictor for APB.
Volume
26
Issue
6
First Page
563
Last Page
565
ISSN
1476-4954
Published In/Presented At
Curti, A., Potti, S., Di Donato, N., Simonazzi, G., Rizzo, N., & Berghella, V. (2013). Cervical length and risk of antepartum hemorrhage in presence of low-lying placenta. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 26(6), 563–565. https://doi.org/10.3109/14767058.2012.743524
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
23153020
Department(s)
Administration and Leadership
Document Type
Article