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Re: Abruptio placenta and ultrasound diagnosis From: Brooke Cregor (brooke@addistribution.com) Tue Jan 11 09:51:36 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Abruptio placenta and ultrasound diagnosis" Previous message: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" In reply to: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" Next in thread: art fougner, md: "Re: Abruptio placenta and ultrasound diagnosis" Terry, Please let me know how you are digitizing these ultrasound images so that you can send them via email. Are these images scanned in or are you using a device that connects directly to your ultrasound machine that automatically converts the images to jpg, dicom, bmp? I am curious as the MediCapture unit from www.medicapture.com <http://www.medicapture.com/> seems to be a nice cost effective solution. We are looking into it as a solution now, but would really like to get real users feedback on the usability. I am just curious if you are using it and have any feedback on it's use. It seems like a simple device designed with the sonographer in mind. One big plus was that it seemed to be featured on the July 04 cover page of OR today http://www.mdpublishing.com/ORToday/CorpProfiles/04/Jul.htm Regards, Brooke _____ From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of DuBose, Terry Sent: Tuesday, January 11, 2005 10:14 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Abruptio placenta and ultrasound diagnosis Did the article discuss the certifications, education, or experience of the sonographic operators? Seems that may make a difference in the outcomes. I think, unfortunately, that many without adequate experience or formal education in sonography pay little attention to the hypoechoic subplacental vascular bed. Attached is an image of a normal placenta with the normal hypoechoic subplacental vascular bed demonstrated in the fundus. The appearance may vary, especially if associated with a focal contraction. There are also photos of the subplacental bed, some with color Doppler, and discussion in DuBose: Fetal Sonography, W. B. Saunders, 1996, p. 352-357. Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm --------------------------------------------------------------- --------------------------------------------------------------- -- --------------------------------------------------------------- -----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of art fougner, md Sent: Tuesday, January 11, 2005 7:33 AM To: Multiple recipients of list ULTRASOUND Subject: 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 --------------------------------- Confidentiality Notice: This e-mail message, including any attachments, is --------------------------------- for the sole use of the intended recipient(s) and may contain confidential --------------------------------- and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Next message: art fougner, md: "Re: Abruptio placenta and ultrasound diagnosis" Previous message: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" In reply to: DuBose, Terry: "Re: Abruptio placenta and ultrasound diagnosis" Next in thread: art fougner, md: "Re: Abruptio placenta and ultrasound diagnosis"

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