The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section
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Abstract
Background
We aimed to evaluate the efficiency of placental elasticity in predicting the amount of intraoperative bleeding via real-time tissue elastography technique.
Methods
Pregnant women in the third trimester of pregnancy who had planned delivery via cesarean section due to the recurrent cesareans were enrolled in the research (n = 78). Elastographic measurements of placental tissues of all cases were carried out by real-time elastographic ultrasonography. It is a tissue elastography software (Esaote MyLabSeven) that uses a 8-1-MHz multifrequency AC2541 Probe.
Results
A significant relationship was found between placental elasticity and intraoperative bleeding. There was a significant correlation between alterations in the preoperative and postoperative hemoglobin (Hb) and hematocrit (Hct) levels and placental strain ratio (SR) (P < 0.001, r: 0.831; P < 0.001, r: 0.733, respectively).
Conclusion
These findings may reflect an alteration at the tissue elasticity level. We hope that the use of real-time elastographic ultrasonography technique may give an idea about the amount of bleeding during the cesarean section.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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©2020 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Corner of Academy
- Operative vaginal delivery: a review of four national guidelines
- Mini Review
- Drug exposure during pregnancy and fetal cardiac function – a systematic review
- Original Articles – Obstetrics
- Pregnancy outcomes among women with peptic ulcer disease
- The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section
- Cellular immune responses in amniotic fluid of women with preterm prelabor rupture of membranes
- Prenatal findings, neonatal symptoms and neurodevelopmental outcome of congenital cytomegalovirus infection in a university hospital in Montreal, Quebec
- Maternal obesity influences the endocrine cord blood profile of their offspring
- Value of cervicovaginal fluid cytokines in prediction of fetal inflammatory response syndrome in pregnancies complicated with preterm premature rupture of membranes (pPROM)
- Reliability of strain elastography using in vivo compression in the assessment of the uterine cervix during pregnancy
- Original Articles – Fetus
- Comparison of strain and dyssynchrony measurements in fetal two-dimensional speckle tracking echocardiography using Philips and TomTec
- Quantitative measurements of celeration times and indexes in the ductus venosus spectral Doppler waveforms in normal fetuses
- Original Articles – Newborns
- Evaluation of cerebral oxygenation and perfusion in small for gestational age neonates and neurodevelopmental outcome at 24–36 months of age
- Measurement of inotropy and systemic oxygen delivery in term, low- and very-low-birth-weight neonates using the Ultrasonic Cardiac Output Monitor (USCOM)
- Short-term neurological improvement in neonates with hypoxic-ischemic encephalopathy predicts neurodevelopmental outcome at 18–24 months
Articles in the same Issue
- Frontmatter
- Corner of Academy
- Operative vaginal delivery: a review of four national guidelines
- Mini Review
- Drug exposure during pregnancy and fetal cardiac function – a systematic review
- Original Articles – Obstetrics
- Pregnancy outcomes among women with peptic ulcer disease
- The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section
- Cellular immune responses in amniotic fluid of women with preterm prelabor rupture of membranes
- Prenatal findings, neonatal symptoms and neurodevelopmental outcome of congenital cytomegalovirus infection in a university hospital in Montreal, Quebec
- Maternal obesity influences the endocrine cord blood profile of their offspring
- Value of cervicovaginal fluid cytokines in prediction of fetal inflammatory response syndrome in pregnancies complicated with preterm premature rupture of membranes (pPROM)
- Reliability of strain elastography using in vivo compression in the assessment of the uterine cervix during pregnancy
- Original Articles – Fetus
- Comparison of strain and dyssynchrony measurements in fetal two-dimensional speckle tracking echocardiography using Philips and TomTec
- Quantitative measurements of celeration times and indexes in the ductus venosus spectral Doppler waveforms in normal fetuses
- Original Articles – Newborns
- Evaluation of cerebral oxygenation and perfusion in small for gestational age neonates and neurodevelopmental outcome at 24–36 months of age
- Measurement of inotropy and systemic oxygen delivery in term, low- and very-low-birth-weight neonates using the Ultrasonic Cardiac Output Monitor (USCOM)
- Short-term neurological improvement in neonates with hypoxic-ischemic encephalopathy predicts neurodevelopmental outcome at 18–24 months
