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<strong>KCE</strong> reports vol. 6A Prenatale zorg 198 Study Ref Population Intervention Outcomes Results Comments Study type EL 1990 second or third ultrasound specificity sensitivity and trimester followed by specificity: 100% bleeding or transvaginal False positives and 81% previous ultrasound within and false diagnosis of 24 hours negatives Transabdominal placenta praevia sensitivity and Findings at Cases of vaginal specificity: 79% delivery used as Âgold standardÊ bleeding and 39% Transvaginal false positive and false negative rate: 29% and 0% (all false positive cases were marginal placenta praevia) Transabdominal false positive and false negative rate: 62% and 20% None had vaginal bleeding in 12 hours following scan
<strong>KCE</strong> reports vol. 6A Prenatale zorg 199 Study Ref Population Intervention Outcomes Results Comments Study type EL Taipale et al., 4 [553] 6428 women Transvaginal Number of 287/6428 (4.5%) CH 2b 1997 with singleton ultrasound women with had placenta at pregnancies from performed at 12 placenta at or or over internal an obstetric clinic to 16 weeks. over internal os in Finland from Placenta that cervical os at 12 1993 to 1994 extended over to 16 weeks 10/6428 (0.16%) the internal had placenta cervical os was Number of praevia at time of measured with women with birth electronic placenta praevia calipers at birth 8/10 women with placenta praevia Sensitivity were identified with transvaginal scan: sensitivity 80%, 95% CI 44 to 98 Taipale et al., 1998 4 [554] 3696 women with singleton pregnancies in Finland from 1995 to 1996 Transvaginal ultrasound performed at 18 to 23 weeks. Distance from edge of placenta to internal cervical os was Number of women with placenta at or over internal cervical os at 18 to 23 weeks Number of women with In all 8 of these women, the placenta extended 15mm or more over the internal os at 12 to 16 weeks 57/3696 (1.5%) had placenta at or over internal os 5/3696 (0.14%) had placenta praevia at time of birth CH 2b
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NATIONALE RICHTLIJN PRENATALE ZORG:
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Nationale richtlijn prenatale zorg:
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KCE reports 1. Effectiviteit en kos
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