Evidence map›Paper›PMID 38641821›Full record

ArticleBMC pregnancy and childbirth2024

The relationship between cervical length and area measurements evaluated by MRI and the amount of hemorrhage in PAS cases.

Yongfei Yue, Liping Zhu, Chengfeng Liu, Yanli Lu

Abstract read
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Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yongfei YueDepartment of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, No. 26 Daoqian Street, Gusu District, Suzhou, Jiangsu, 215002, China. yueyongfeiyyf@163.com.
Liping ZhuDepartment of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, No. 26 Daoqian Street, Gusu District, Suzhou, Jiangsu, 215002, China.
Chengfeng LiuDepartment of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, No. 26 Daoqian Street, Gusu District, Suzhou, Jiangsu, 215002, China.
Yanli LuDepartment of Medical Imaging, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, Jiangsu, China.

Funding

Clinical Medical Expert Team Project of Suzhou SZYJTD201709Maternal and children's health research project of Jiangsu Province F202108Suzhou Science and Technology Plan Research Project SKJYD2021222
6 · The paper itself

Abstract

backgroundPlacenta accreta spectrum often leads to massive hemorrhage and even maternal shock and death. This study aims to identify whether cervical length and cervical area measured by magnetic resonance imaging correlate with massive hemorrhage in patients with placenta accreta spectrum.

methodsThe study was conducted at our hospital, and 158 placenta previa patients with placenta accreta spectrum underwent preoperative magnetic resonance imaging examination were included. The cervical length and cervical area were measured and evaluated their ability to identify massive hemorrhage in patients with placenta accreta spectrum.

resultsThe cervical length and area in patients with massive hemorrhage were both significantly smaller than those in patients without massive hemorrhage. The results of multivariate analysis show that cervical length and cervical area were significantly associated with massive hemorrhage. In all patients, a negative linear was found between cervical length and amount of blood loss (r =-0.613), and between cervical area and amount of blood loss (r =-0.629). Combined with cervical length and cervical area, the sensitivity, specificity, and the area under the curve for the predictive massive hemorrhage were 88.618%, 90.209%, and 0.890, respectively.

conclusionThe cervical length and area might be used to recognize massive hemorrhage in placenta previa patients with placenta accreta spectrum.

Indexed as

Placenta AccretaPlacenta PreviaBlood Loss, SurgicalCervix UteriFemaleHumansMagnetic Resonance ImagingPlacentaPregnancyRetrospective StudiesComplete placenta previaMagnetic resonance imagingMassive hemorrhagePlacenta accreta spectrum

Identifiers

PMID38641821
PMCPMC11027515

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.