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<strong>KCE</strong> reports vol. 6A Prenatale zorg 200 Study Ref Population Intervention Outcomes Results Comments Study type EL Hill et al., 1995 4 [555] 1252 pregnant women from a womenÊs hospital in the USA measured with electronic calipers Transvaginal ultrasound performed between 9 and 13 weeks of gestation. The distance from the edge of the placenta to the internal cervical os was measured with electronic calipers placenta praevia at birth Sensitivity and specificity Positive predictive value (PPV) with 15mm cutoff Number of women with placenta at or over internal cervical os between 9 and 13 weeks Number of women with placenta praevia at birth Sensitivity: 100%, 95% CI 48 to 100 Specificity: 99.4%, 95% CI 99.1 to 99.6 In all 5 women, placenta extended 15mm or more over the internal os at 18 to 23 weeks PPV: 19%, 95% CI 6 to 38 77/1252 (6.2%) had placenta at or over internal os 4/1252 (0.32%) had placenta praevia at time of birth In all 4 women, the placenta extended more than 1.6 cm over the internal os by transvaginal ultrasound at 9 to 13 weeks. CSS 3
<strong>KCE</strong> reports vol. 6A Prenatale zorg 201 Study Ref Population Intervention Outcomes Results Comments Study type EL Dasche et al., 4 [556] 714 women with Retrospective Persistence of From 15 to 19 CS 3 2002 singleton analysis of placenta weeks: 12% pregnancies and women who had praevia to suspected transvaginal or delivery from From 20 to 23 placenta praevia transabdominal gestational age at weeks: 34% from 1991 to ultrasound detection 2000 between 15 and From 24 to 27 36 weeks of gestation weeks: 49% From 28 to 31 weeks: 62% 1. e. Vaginal ultrasonography to predict preterm birth From 32 to 35 weeks: 73% What is the sensitivity and specificity of a vaginal ultrasonography to predict preterm birth? Study Ref Population Intervention Outcomes Results Comment Iams et al., 1996 4 [543] 2915 women from 10 university affiliated antenatal clinics in the USA from 1992 to 1994 Vaginal ultrasonography at approximately 24 and again at 28 weeks of gestation (2531/2915) Preterm birth (
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NATIONALE RICHTLIJN PRENATALE ZORG:
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KCE reports 1. Effectiviteit en kos
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