지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 55 - 60 (6page)
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초록· 키워드
오류제보하기
Objective: The aim of this study was to identify the factors affecting massive hemorrhages in patients with placenta previa. We also made probability models and equations for massive hemorrhage. Methods: Seven hundred and sixty-four patients with placenta previa who underwent cesarean section from January 2011 to September 2019 were retrospectively reviewed. Massive hemorrhage was defined as a blood loss exceeding 1,500 mL or receiving over four units of packed red blood cells during cesarean section. Logistic regression analysis was used to create a probability model and identify the predictive factors for massive hemorrhage. Results: Two hundred and seventy-three (35.7%) patients had massive hemorrhages. Preoperative hemoglobin levels, multifetal gestation, emergent surgery, history of a previous cesarean section, location of the placenta, the presence of lacuna, placental adhesion, the type of placenta previa, and multiparity were selected predictive factors for massive hemorrhage. One hundred seventy-eight (23.3%) patients had placenta previa and a history of previous cesarean section. Among them, massive hemorrhage occurred in 101 (56.7%). The selected predictive factors for massive hemorrhage in patients with placenta previa and a history of previous cesarean section were emergent surgery, location of the placenta, the presence of lacuna, placental adhesion, and preoperative hemoglobin levels. An equation for massive hemorrhage in patients with placenta previa was created by combining variables. Conclusion: An equation for massive hemorrhage in patients with placenta previa was created by combining variables. These equations may help in managing placenta previa patients with high risk.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Allahdin S / 2011 / Management of placenta praevia and accreta / J Obstet Gynaecol 31:1~6
Choi SJ / 2008 / Antepartum risk factors associated with peripartum cesarean hysterectomy in women with placenta previa / Am J Perinatol 25:37~41
Dahlke JD / 2015 / Prevention and management of postpartum hemorrhage : a comparison of 4 national guidelines / Am J Obstet Gynecol 213:76.e1~76.e10
Kocaoglu N / 2012 / Management of anesthesia for cesarean section in parturients with placenta previa with/without placenta accreta : a retrospective study / Ginekol Pol 83:99~103
Pacheco LD / 2016 / An update on the use of massive transfusion protocols in obstetrics / Am J Obstet Gynecol 214:340~344
Choi SJ / 2008 / Antepartum risk factors associated with peripartum cesarean hysterectomy in women with placenta previa / Am J Perinatol 25:37~41
Dahlke JD / 2015 / Prevention and management of postpartum hemorrhage : a comparison of 4 national guidelines / Am J Obstet Gynecol 213:76.e1~76.e10
Kocaoglu N / 2012 / Management of anesthesia for cesarean section in parturients with placenta previa with/without placenta accreta : a retrospective study / Ginekol Pol 83:99~103
Pacheco LD / 2016 / An update on the use of massive transfusion protocols in obstetrics / Am J Obstet Gynecol 214:340~344
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