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Title: Proposal of a new parameter for diagnosing a low-lying placenta in the third trimester: The distance between the external os and placental edge. Author: Nojiri T, Yoshizato T, Sanui A, Araki R, Obama H, Shirota K, Miyamoto S. Journal: Taiwan J Obstet Gynecol; 2015 Aug; 54(4):390-3. PubMed ID: 26384056. Abstract: OBJECTIVE: To validate a new parameter of the distance between the external os (EO) and placental edge (PE) to diagnose a low-lying placenta in the third trimester. MATERIALS AND METHODS: The study participants included 94 uncomplicated singleton pregnant women with cephalic presentation. These women were cared for in our hospital in 1998-2011, with a posterior low-lying placenta, which was diagnosed as the distance between the internal os (IO) and a PE of 0-3.0 cm at 34-36 weeks' gestation. Measurements of cervical length (CL) and the distances of IO-PE and EO-PE were performed using transvaginal ultrasonography at least twice at 28-30 weeks, 31-33 weeks, and 34-36 weeks. Changes in CL, and the IO-PE and EO-PE distances were analyzed. RESULTS: CL and the IO-PE and EO-PE distances did not change prior to 31-33 weeks. CL was shortened and the IO-PE distance was increased after 31-33 weeks (p = 0.0001), but the EO-PE distance was unchanged. CONCLUSION: The EO-PE distance is a promising parameter for diagnosis of low-lying placenta in the third trimester up to 36 weeks' gestation.[Abstract] [Full Text] [Related] [New Search]