OC09.01: Psychological distress and treatment satisfaction after expectant management or misoprostol treatment of early miscarriage: a randomised trial

Abstract

sampling frame moved from the cervix to the fundus in the sagittal plane. The longitudinal distance was measured between the start point and the end point of placental implantation destroying lesion, then the transverse diameter was measured on the axial plane. The location, area and depth of placental implantation were estimated. The morphological changes of double track sign can be divided into four types: type A-complete double track sign, type B-point monorail type, type C-linear monorail type and type D-trackless type. The scores from AD are 1-4. Results: Among 37 cases, there were 30 cases of type A, 12 cases of type B, 28 cases of type C, and 17 cases of type D trackless, including 8 cases of placenta implantation penetrating the serous layer to the wall of the bladder or broad ligament, 6 cases of uterine perforation and 7 cases of cervical implantation. There were totally 14 different pathomorphic combinations of varying degrees of placental implantation. The average score of was 7.96 ± 2.78 (1-13), and the average bleeding volume was 1050 ± 1616ml (300-5000ml). When total score was over 7 points, and the amount of bleeding volume increased by 1445 ± 1045ml (800-5000ml), which was a significant difference. Conclusions: Three dimension Crystal Vue imaging can realise accurate assessment of the site, depth and scope of placental invasion as well as the intraoperative bleeding volume, which provides accurate imaging basis for clinicians to develop personalised medical treatments.