Sonographic confirmation of placental detachment during placental delivery for uterine inversion prevention.
delivery
placenta
prevention
ultrasonography
uterine inversion
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
14
04
2023
accepted:
13
07
2023
medline:
6
11
2023
pubmed:
8
8
2023
entrez:
8
8
2023
Statut:
ppublish
Résumé
To evaluate the usefulness of transabdominal sonographic confirmation of placental detachment in preventing uterine inversion. This was 14-year retrospective cohort study that included women who had transvaginal deliveries in our hospital. We introduced routine transabdominal ultrasonography during placental delivery to prevent uterine inversion. Followed by the confirmation of placental detachment by ultrasonography, we started placental delivery procedure. The frequency of uterine inversion during placental delivery was compared before and after the ultrasonography was introduced. Moreover, the duration of the third stage of labor and bleeding volume during labor were compared between the ultrasonography performing group (USG group) and the non-performing group (non-USG groups). Five thousand and eighty-one women, including 1724 and 3357 women who delivered before and after the ultrasonography was introduced, respectively. The frequency of uterine inversion after the introduction of the ultrasonography system was significantly reduced compared to that before the introduction (0.03% vs. 0.23%, p = 0.03). Even after the introduction of ultrasonography, the actual rate of performing ultrasonography remained 54.1% due to various restrictions. The mean duration of the third stage of labor in the USG group was slightly longer than that in the non-USG group (8.4 ± 5.0 vs. 6.8 ± 3.6, p < 0.01). The mean bleeding volume during labor in the USG group was higher compared with the non-USG group (457 ± 329 vs. 418 ± 285, p < 0.01). Transabdominal sonographic confirmation of placental detachment may be useful in preventing uterine inversion.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2644-2648Informations de copyright
© 2023 Japan Society of Obstetrics and Gynecology.
Références
Watson P, Besch N, Bowes WA Jr. Management of acute and subacute puerperal inversion of the uterus. Obstet Gynecol. 1980;55:12-16.
Baskett TF. Acute uterine inversion: a review of 40 cases. J Obstet Gynaecol Can. 2002;24:953-956.
Witteveen T, van Stralen G, Zwart J, van Roosmalen J. Puerperal uterine inversion in The Netherlands: a nationwide cohort study. Acta Obstet Gynecol Scand. 2013;92:334-337.
Bayer-Zweirello LA. The third stage. In: O'grady JP et al., editors. Operative obstetrics. 2nd ed. Cambridge: Cambridge University Press; 2008. p. 280-283.
Huntington JL. Acute inversion of the uterus. Boston Med Surg J. 1921;184:376-380.
Robson S, Adair S, Bland P. A new surgical technique for dealing with uterine inversion. Aust N Z J Obstet Gynaecol. 2005;45:250-251.
You WB, Zahn CM. Postpartum hemorrhage: abnormally adherent placenta, uterine inversion, and puerperal hematomas. Clin Obstet Gynecol. 2006;49:184-197.
Sardeshpande NS, Sawant RM, Sardeshpande SN, Sabnis SD. Laparoscopic correction of chronic uterine inversion. J Minim Invasive Gynecol. 2009;16:646-648.
Matsubara S, Yano H, Taneichi A, Suzuki M. Uterine compression suture against impending recurrence of uterine inversion immediately after laparotomy positioning. J Obstet Gynaecol Res. 2009;35:819-823.
Takeda S, Makino S, Takeda J, Kanayama N, Kubo T, Nakai A, et al. Japanese clinical practice guide for critical obstetrical hemorrhage (2017 revision). J Obstet Gynaecol Res. 2017;43:1517-1521.
Kimbell N. Brandt-Andrews technique of delivery of the placenta. Br Med J. 1958;1:203-204.
Chou MM, Ho ES, Lee YH. Prenatal diagnosis of placenta previa accreta by transabdominal color doppler ultrasound. Ultrasound Obstet Gynecol. 2000;15:28-35.
Comstock CH, Love JJ, Bronsteen RA, Lee W, Vettraino IM, Huang RR, et al. Sonographic detection of placenta accreta in the second and third trimesters of pregnancy. Am J Obstet Gynecol. 2004;190:1135-1140.
Comstock CH, Bronsteen RA. The antenatal diagnosis of placenta accreta. BJOG. 2014;121:171-181.
Bowman ZS, Eller AG, Kennedy AM, Richards DS, Winter TC III, Woodward PJ, et al. Accuracy of ultrasound for the prediction of placenta accreta. Am J Obstet Gynecol. 2014;211(177):e1-177.e7.
Hsieh TT, Lee JD. Sonographic findings in acute puerperal uterine inversion. J Clin Ultrasound. 1991;19:306-309.
Pauleta JR, Rodrigues R, Melo MA, Graça LM. Ultrasonographic diagnosis of incomplete uterine inversion. Ultrasound Obstet Gynecol. 2010;36:260-261.
Silver RM. Abnormal placentation: placenta previa, vasa previa, and placenta accreta. Obstet Gynecol. 2015;126:654-668.
Wu S, Kocherginsky M, Hibbard JU. Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol. 2005;192:1458-1461.