-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Abruptio placenta and ultrasound diagnosis From: art fougner, md (evsono@pipeline.com) Tue Jan 11 06:30:19 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" Previous message: sikandar ali: "Re: Abruptio placenta and ultrasound diagnosis" In reply to: Raul Limos: "Abruptio placenta and ultrasound diagnosis" Next in thread: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" >From :J Ultrasound Med. 2002 Aug;21(8):837-40. Clinical utility of sonography in the diagnosis and treatment of placental abruption. Glantz C, Purnell L. Of 55 patients who gave birth within 14 days of sonography, 8 (15%) had scans consistent with abruption, and 29 (53%) had abruption at delivery; the sensitivity, specificity, and positive and negative predictive values of sonography were 24%, 96%, 88%, and 53%, respectively. Positive sonographic findings were univariately associated with 2- to 3-fold greater subsequent tocolysis, betamethasone use, duration of hospitalization, follow-up sonograms, preterm delivery, low birth weight, and neonatal intensive care unit admission. All but low birth weight and neonatal intensive care unit admission remained independently significant after adjustment for gestational age (P < .05). CONCLUSIONS: Sonography is not sensitive for detection of placental abruption, but a positive finding is associated with more aggressive management and worse neonatal outcome. art At Tue, 11 Jan 2005, Raul Limos wrote: > >I had a service patient who had a routine obstectric scan about 6 days >ago and everything was normal and came to the hospital yesterday for >bouts of diarrhea. The resident obstetrician checked the baby for >fetal well being and the baby had fetal bradycardia. On emergency >c-section they found out that there was an abruption placenta of about >50%. The APGAR Score of the baby was 0 and presently On ventilator. > >My question is did I miss the abruptio or the diarrhea precipitated >this event? I am trying to retrieve the films we took from the patient >for review as we routinely take pictures of the placenta. -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" Previous message: sikandar ali: "Re: Abruptio placenta and ultrasound diagnosis" In reply to: Raul Limos: "Abruptio placenta and ultrasound diagnosis" Next in thread: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis"

recommended search...
OBGYN.net forums endometriosis zone Web

Return to

Mail a New Message to the Forum: ultrasound@obgyn.net Forum Administrator: terry.dubose@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 05:19:47 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.