Document Detail

Cervical varicosities and placenta praevia.
MedLine Citation:
PMID:  23919618     Owner:  NLM     Status:  Publisher    
INTRODUCTION: Cervical varicosities (CVs) have been reported infrequently in pregnancy and have been associated with significant antepartum and postpartum haemorrhage. The most common association with CVs in pregnancy in the literature is placenta praevia.
AIMS: To further investigate the association between placenta praevia and CVs.
METHODS: A retrospective audit of all cases of placenta praevia that had an ultrasound in the Feto-Maternal Unit at Liverpool Hospital over the period January 2001 to January 2012. Patient outcomes were obtained from the hospital paper and electronic medical records, including mode of delivery and blood loss.
RESULTS: Eighty-four cases of placenta praevia were identified, and 78 had saved images that were reviewed. 51 of these 78 cases had transvaginal ultrasound (TVUS) images, which identified nine further cases of cervical varicosities. All cases of CVs were complicated by APH and delivered by caesarean section. There was no significant difference in the blood loss at delivery between the placenta praevia with CVs and those without (925 vs 870 mLs P = 0.3877).
CONCLUSIONS: Cervical varicosities are not as rare as the literature would suggest. The clinical relevance of the additional finding of CV on TVUS in cases of placenta praevia is questionable.
Brooke O'Brien; John Smoleneic
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-6
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  -     ISSN:  1479-828X     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-8-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
Obstetrics and Gynaecology Registrar, Liverpool Hospital, Sydney, New South Wales, Australia.
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