[Reevaluation of the diagnosis of placenta previa in midtrimester by means of transabdominal, transrectal and transvaginal ultrasonography]. 1991

K Matsuo, and K Ishihara, and S Kikuchi
Department of Obstetrics and Gynecology, Nippon Medical School, Kanagawa.

The incidence of placenta previa in mid-pregnancy diagnosed by ultrasonography is abnormally high in comparison with its incidence during labor. The cause of this discrepancy has not been fully elucidated. Detection of the cervix is fundamental to the diagnosis of placenta previa. In the present study, the detection rates for three methods, abdominal, rectal and vaginal scanning were compared and the time course of mid-pregnancy placenta previa was traced. The cause of the above-mentioned discrepancy was thus elucidated. 1. Rate of cervix detection 1) In the 12-23 gestational week period, the cervix was successfully identified in 52.0-62.5% of cases by abdominal scanning, and in 85.7-87.5% by transrectal scanning. 2) The uterine isthmus was not identified by transabdominal scanning. 2. Changes in ultrasonographic findings with the passage of time 1) Transrectal scanning

UI MeSH Term Description Entries
D008722 Methods A series of steps taken in order to conduct research. Techniques,Methodological Studies,Methodological Study,Procedures,Studies, Methodological,Study, Methodological,Method,Procedure,Technique
D010923 Placenta Previa Abnormal placentation in which the PLACENTA implants in the lower segment of the UTERUS (the zone of dilation) and may cover part or all of the opening of the CERVIX. It is often associated with serious antepartum bleeding and PREMATURE LABOR. Placenta Praevia
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011262 Pregnancy Trimester, Second The middle third of a human PREGNANCY, from the beginning of the 15th through the 28th completed week (99 to 196 days) of gestation. Midtrimester,Pregnancy, Second Trimester,Trimester, Second,Midtrimesters,Pregnancies, Second Trimester,Pregnancy Trimesters, Second,Second Pregnancy Trimester,Second Pregnancy Trimesters,Second Trimester,Second Trimester Pregnancies,Second Trimester Pregnancy,Second Trimesters,Trimesters, Second
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic

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