Twin pregnancy complicated by total placenta previa in a Fontan-palliated patient: A case report

Morita, Aoi; Kido, Saki; Hachisuga, Masahiro; Nagata, Hazumu; Hidaka, Noriaki; Kato, Kiyoko

doi:10.1016/j.crwh.2018.e00085

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…This subgroup study included pregnant women with ultrasound-confirmed PAS in the third trimester. Twins and multiple pregnancies were eliminated from this study because of the high rate of poor outcomes ( 21 ). Furthermore, PAS with a placenta score of <10 did not meet the indication for severe placenta accreta spectrum in our hospital; therefore, we eliminated these pregnant women from the final analysis.…”

Section: Methodsmentioning

confidence: 99%

Risk factors of emergency cesarean section in pregnant women with severe placenta accreta spectrum: a retrospective cohort study

Zhao

Yang

et al. 2023

Front. Med.

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IntroductionPlacenta accreta spectrum (PAS) may cause enormous and potentially life-threatening hemorrhage in the intrapartum and postpartum periods in emergency cesarean section. How to reduce the occurrence of emergency cesarean section in patients with severe PAS is the key to reducing the adverse outcomes of them. This study aimed to investigate the impact of emergency cesarean section on the perioperative outcomes of pregnant women with PAS and neonates, and also aimed to explore the risk factors of emergency cesarean section in pregnant women with PAS.Materials and methodsA retrospective investigation was conducted among 163 pregnant women with severe PAS. Of these, 72 were subjected to emergency cesarean sections. Data on the perioperative characteristics of the mothers and neonates were collected. Multivariable linear regression analysis was used to detect associations between maternal and perioperative characteristics and volume of intraoperative bleeding. Binary logical regression was used to analyze the association between maternal preoperative characteristics and emergency cesarean section. Linear regression analysis is used to analyze the relationship between gestational age and emergency cesarean section.ResultsThe risks of emergency cesarean section increase 98, 112, 124, and 62% when the pregnant women with PAS accompanied by GHD, ICP, more prior cesarean deliveries and more severe PAS type, respectively. Noteworthy, the risk of emergency cesarean section decreases 5% when pre-pregnancy BMI increases 1 kg/m2 (OR: 0.95; CI: 0.82, 0.98; p = 0.038). Moreover, there is no significant linear correlation between emergency cesarean section and gestational age.ConclusionGHD, ICP, multiple prior cesarean deliveries and severe PAS type may all increase the risk of emergency cesarean section for pregnant women with PAS, while high pre-pregnancy BMI may be a protective factor due to less activity level. For pregnant women with severe PAS accompanied by these high risk factors, more adequate maternal and fetal monitoring should be carried out in the third trimester to reduce the risk of emergency cesarean section.

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Section: Methodsmentioning

confidence: 99%

Risk factors of emergency cesarean section in pregnant women with severe placenta accreta spectrum: a retrospective cohort study

Zhao

Yang

et al. 2023

Front. Med.

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“…Thus, physicians must be concerned about thromboembolic and hemorrhagic events. At Kyushu University Hospital, we have managed four pregnancies (a twin 19 and three singletons) with Fontan circulation until 2019. All patients had tricuspid atresia, and three of four patients underwent a lateral tunnel procedure.…”

Section: Maternal Congenital Heart Diseasementioning

confidence: 99%

Transition in cardiology 2: Maternal and fetal congenital heart disease

Nagata¹,

Yamamura²,

Matsuoka³

et al. 2022

Pediatrics International

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The number of women with congenital heart disease (CHD) reaching reproductive age has been increasing. Many women with CHDs are desirous of pregnancy, but they face issues regarding preconception, antepartum, and postpartum management. On the other hand, the fetal diagnosis of CHD has improved with advances in the technique and equipment for fetal echocardiography. Recently, experiences with fetal intervention have been reported in patients with severe CHD, such as critical aortic stenosis. Nevertheless, some types of CHD are challenge to diagnose prenatally, resulting in adverse outcomes. Medical care is part of the transitional care for women and fetuses with CHD during the perinatal period. Pre-conceptional and prenatal counseling play an important role in transitional care. Sex and reproductive education need to be performed as early as possible. We herein review the current status, important issues to be resolved, and the future of maternal and fetal CHD to relevant caregivers.

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“…This subgroup study included pregnant women with an ultrasound con rmed placenta previa in the second trimester. Twin pregnancies were eliminated from this study due to the high rate of poor outcomes [23].…”

Section: Study Design and Participantsmentioning

confidence: 99%

Dynamic Change of Placenta Previa From Second Trimester to Delivery: a Retrospective Longitudinal Study Cohort

Wei

Liu

et al. 2022

Preprint

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Introduction: Placenta previa contributes greatly to severe antenatal and post-partum hemorrhage in obstetrics. Previous studies have mainly focused on the risk factors of placenta previa, and very limited studies have reported which factors may affect the dynamic outcome of placenta previa in the second trimester. The aim of this study was to investigate the impact of maternal and neonatal characteristics on dynamic change of placenta previa from second trimester to delivery.Methods: A retrospective longitudinal sub-cohort investigation was carried out among 510 pregnant women with placenta previa in second trimester of pregnancy from the Longitudinal Placenta Previa Study (LoPPS). Logistic regression analysis was used to discover the connections between maternal covariates and dynamic change process of placenta. Multivariable linear regression analysis was used to detect the associations between perioperative characteristics and the volume of intraoperative bleeding. Results: Among the pregnant women with major placenta previa in the second trimester, 28.8% of them were without placenta previa at delivery, and 25.5% morphed into minor placenta previa. There was significant correlation between placenta previa type and pre-pregnancy BMI (Beta: 0.141, 95% CI: 0.046,0.235. p=0.003), gestational age (Beta: -0.355, 95% CI: -0.507, -0.204. p<0.001) and times of prior cesarean section (Beta: 0.161, 95% CI: 0.050,0.271. p<0.001). Conclusion: 71.2% of the pregnant women with major placenta previa in the second trimester were still with placenta previa at delivery, and the proportion may be higher in pregnant women suffering previous cesarean section and with high pre-pregnancy BMI.

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Twin pregnancy complicated by total placenta previa in a Fontan-palliated patient: A case report

Cited by 4 publications

References 15 publications

Risk factors of emergency cesarean section in pregnant women with severe placenta accreta spectrum: a retrospective cohort study

Risk factors of emergency cesarean section in pregnant women with severe placenta accreta spectrum: a retrospective cohort study

Transition in cardiology 2: Maternal and fetal congenital heart disease

Dynamic Change of Placenta Previa From Second Trimester to Delivery: a Retrospective Longitudinal Study Cohort

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