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Managing patients with suspected postpartum retained products of conception using a novel sonographic classification.
- Source :
- Acta Radiologica; Mar2022, Vol. 63 Issue 3, p410-415, 6p
- Publication Year :
- 2022
-
Abstract
- Background: Suspicion of retained products of conception (RPOC) often arises after delivery and still poses a diagnostic and management challenge. Purpose: To prospectively evaluate a sonographic classification for the management of patients with suspected RPOC after delivery. Material and Methods: Based on grayscale and Doppler ultrasound parameters, patients were classified into high, moderate, or low probability of RPOC. For the low and moderate probability groups, an ultrasound follow-up at the end of the puerperium was recommended. For the high probability group, a follow-up examination was conducted 10–14 days after the first ultrasound, and patients with persistent high probability findings were referred for surgical intervention. Results: The sample was composed of 215 patients at risk of RPOC. Of these, 100, 93, and 22 patients were classified as having a low, moderate, or high probability of RPOC, respectively. Rates of RPOC were 55%, 2%, and 2% in the high, moderate, and low probability categories, respectively. When the categorization was based on the most recent ultrasound obtained during the puerperium, the adjusted RPOC prevalence rates were 71% in the high, 6% in the moderate, and 0% in the low probability groups. Conclusion: This study confirms the effectiveness of our sonographic classification for managing patients with suspected RPOC after delivery. In all three categories, it is recommended to adhere to a conservative management protocol in clinically stable women until the end of the puerperium. This approach provides good predictability for RPOC and can reduce unnecessary surgical interventions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02841851
- Volume :
- 63
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Acta Radiologica
- Publication Type :
- Academic Journal
- Accession number :
- 154591469
- Full Text :
- https://doi.org/10.1177/0284185121991464