Publication
Title
The value of postpartum ultrasound for the diagnosis of retained products of conception: A systematic review
Author
Abstract
Background: The goal of this review is to evaluate the value of ultrasound for detection of retained products of conception (RCOP) after delivery. Methods: A systematic search was performed using postpartum', retained placenta', retained products' and ultrasound' resulting 82 publications, after screening titles and abstracts, 30 remained. Results: On gray scale ultrasound, one must be focus on a thickened endometrial echo complex (EEC) with a cut off value of 10 mm and on an intracavitary mass. If these features are not visible, RPOC is rare. However, these findings are neither specific nor conclusive for RPOC and can even be seen in a normal postpartum uterus. Detection of hypervascularity in a thickened EEC or intracavitary mass with color Doppler ultrasound is very sensitive for RPOC but still not specific nor can it exclude RPOC. MRI seems best in differentiating RPOC, arteriovenous malformations and gestational trophoblastic disease. Conclusion: There is no consensus on a standardised method for postpartum ultrasound. More research and standardization are necessary to differentiate of normal and pathological findings in the postpartum uterus.
Language
English
Source (journal)
Facts, views & vision in obgyn : issues in obstetrics, gynaecology and reproductive health. - Place of publication unknown
Publication
Wetteren : Universa press , 2017
ISSN
2032-0418
Volume/pages
9 :4 (2017) , p. 207-216
ISI
000434850800005
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 10.07.2018
Last edited 03.09.2021
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