Journal Basic Info

  • Impact Factor: 1.809**
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Cardiac Surgery
  •  Nutrition and Food Science
  •  Psychiatry and Mental Health
  •  Obstetrics and Gynecology
  •  Endocrinology
  •  Microbiology
  •  Cardio-Thoracic Surgery
  •  Orthopedic Surgery

Abstract

Citation: Ann Clin Case Rep. 2020;5(1):1815.DOI: 10.25107/2474-1655.1815

Preoperative Ultrasound Positioning Uterine Incision of Complete Placenta Previa to Reduce Maternal and Infant Complications in the Third Trimester

Wenfei Luo

Department of Gynecology and Obstetrics, Army Medical University, China

*Correspondance to: Wenfei Luo*, Qing Chang, Dan Wang and Xiaoli Yan  

 PDF  Full Text Case Report | Open Access

Abstract:

Introduction: Pre-operative ultrasound assessment of placental margin position and severity of placental implantation, position of umbilical cord insertion, and guidance of uterine incision selection before operation based on anatomical markers on the body surface of pregnant women with complete placenta, thereby reducing severe blood loss during delivery and lowering postpartum hemorrhage. Case Presentation: Pregnant woman, 27 years old, 37 weeks gestation, G5P1. Color Doppler tips: Complete type of placenta previa, placenta completely covers the anterior wall of the uterus and the inner cervix, part of the posterior wall and side wall. The placenta boundary with the muscle wall of the lower uterus is unclear at 32 mm below the umbilicus. The implantation area is 42 mm × 36 mm. MRI Results: • Complete placenta previa. • The boundary between the lower part of the anterior wall of the uterus is unclear, and placental implantation is possible. Conclusion: For the complete placenta previa in the third trimester, the placenta is widely attached to the anterior wall of the uterus with partial implantation of the uterine incision. The placenta cannot be avoided to deliver the fetus. Ultrasound "three-line four-zone method" accurately locates the placental edge and the umbilical pedicle. Selecting an appropriate incision in the uterus can reduce bleeding during the operation and acute fetal blood loss, and the incidence of maternal and infant complications.

Keywords:

Cite the Article:

Luo W, Chang Q, Wang D, Yan X. Preoperative Ultrasound Positioning Uterine Incision of Complete Placenta Previa to Reduce Maternal and Infant Complications in the Third Trimester. Ann Clin Case Rep. 2020; 5: 1815.

Search Our Journal

Journal Indexed In

Articles in PubMed

Tocotrienols: Exciting Biological and Pharmacological Properties of Tocotrienols and Naturally Occurring Compounds, Part II
 PubMed  PMC  PDF  Full Text
A New Minimally Invasive Procedure for Muscle, Back, Neck Pain and Radiculopathy - The Myofascial Nerve Block
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Porcelain Gallbladder or a Special Type Stone? A Case Report about Novel Gallbladder Disease
 Abstract  PDF  Full Text
Effect of Mold Exposure during Pregnancy on the Development of Offspring’s Atopic Dermatitis
 Abstract  PDF  Full Text
View More...