Time to reconsider elective Cesarean birth

Kamel, Rasha; Thilaganathan, B.

doi:10.1002/uog.22158

Cited by 4 publications

(2 citation statements)

References 25 publications

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“… 11 12 13 The reasons for that are not difficult to understand. Although preliminary studies suggested that PAS resulted from an excessive trophoblastic invasion and/or substandard decidual function, 14 15 the hypothesis of placental implantation on or into an iatrogenically defective decidua is currently gaining acceptance, 16 17 18 making the case for a common pathophysiological pathway between development of an uterine niche, Cesarean scar pregnancy (CSP) and PAS. Furthermore, recent epidemiological studies have challenged the previous association of the number of previous Cesarean sections and the risk for PAS, confirming that there is a plateau of risk for PAS after the second Cesarean birth.…”

Section: What Are the Relevant Risk Factors For Pas Screening?mentioning

confidence: 99%

Placenta Accreta Spectrum Disorders and Cesarean Scar Pregnancy Screening: Are we Asking the Right Questions?

Coutinho

Noël

Giorgione

et al. 2021

Rev Bras Ginecol Obstet

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Section: What Are the Relevant Risk Factors For Pas Screening?mentioning

confidence: 99%

Placenta Accreta Spectrum Disorders and Cesarean Scar Pregnancy Screening: Are we Asking the Right Questions?

Coutinho

Noël

Giorgione

et al. 2021

Rev Bras Ginecol Obstet

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“…High uterine scar position and the presence of a uterine scar niche were postulated to act synergistically to increase the likelihood of scar / myometrial implantation in a future pregnancy. 109 The uterine scar level and its integrity were shown to be related to the stage of labor at the time of caesarean birth. 110 Transvaginal ultrasound and saline instillation sonohysterography are essential for identifying the place and integrity of the CS scar.…”

Section: The Role Of Ultrasound Scan Post Caesarean Sectionmentioning

confidence: 99%

Ultrasound and childbirth

Kamel¹

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ToTo Ahmed Said, pappy, my dear and adored father, whose whole life, has been devoted to the welfare of his family and everyone he came to know. He has been my role model in his selflessness, love of work, science and research. Forever my hero.To Fawkia Farahat, mummy, my dear and beloved mother, whose strength and championing of feminism at home and at work have been an inspiration to me and all others around her. She has been my inspiration in strength and perseverance.After they have departed, they remain with me and always will.To my loving and beloved husband, Sherif, whose limitless support, encouragement and understanding is what keeps me going.To my lovely daughter and son, Farida and Ismail, the apples of my eyes and the meaning of my life. Why was this study conducted?This study aimed to develop a reliable model for prediction of cesarean deliveryfor failure to progress as an outcome of labor induction in term singleton pregnancies. Key findingsA predictive model composed of maternal age, cervical length, angle of pro-gression at rest, and fetal occiput posterior position provided accurate prediction of successful induction of labor (area under the receiver operating characteristiccurve[AUC], 0.79; 95% confidence interval, 0.71e0.87). There was also a good performance in validation of the model (AUC,

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