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- Title
The effect of placental elasticity on intraoperative bleeding in pregnant women with previous cesarean section.
- Authors
Tolunay, Harun Egemen; Eroğlu, Hasan; Kaya, Onur; Şahin, Dilek; Yücel, Aykan
- 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.
- Subjects
CESAREAN section; COMPUTER software; STATISTICAL correlation; DELIVERY (Obstetrics); ELASTICITY; HEMATOCRIT; HEMOGLOBINS; INTRAOPERATIVE care; PLACENTA; POSTOPERATIVE period; THIRD trimester of pregnancy; PREGNANT women; SURGICAL therapeutics; ULTRASONIC imaging; PREOPERATIVE period; PATIENTS' attitudes; SURGICAL blood loss; DISEASE risk factors
- Publication
Journal of Perinatal Medicine, 2020, Vol 48, Issue 3, p217
- ISSN
0300-5577
- Publication type
Article
- DOI
10.1515/jpm-2019-0448