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Severe postpartum hemorrhage : etiology, management and long-term outcome with special emphasis on novel methods of management
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TLDR
A chronology of key events, books and articles published in the first decade of the 21st century and some of the stories behind them are revealed.Abstract:
........................................................................................................................................... 7 LIST OF ORIGINAL PUBLICATIONS ....................................................................................................... 9 ABBREVIATIONS ................................................................................................................................ 10read more
Citations
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Obstetricia FIGO consensus guidelines on placenta accreta spectrum disorders: nonconservative surgical management
TL;DR: Hysterectomy remains the definitive surgical treatment for PAS disorders, especially for its invasive forms, and a primary elective cesarean hystereCTomy is the safest and most practical option for most low- and middle- income countries where diagnostic, follow- up, and additional treatments are not available.
Book ChapterDOI
Medically-Indicated Late Preterm and Early Term Delivery
TL;DR: This Committee Opinion is being revised to include frequent obstetric conditions that would necessitate delivery before 39 weeks of gestation and to apply the most up-to-date evidence supporting delivery recommendations.
Iconography : The association of placenta previa with history of cesarean delivery and abortion: A metaanalysis
Abstract: OBJECTIVE
Our purpose was to determine the incidence of placenta previa based on the available epidemiologic evidence and to quantify the risk of placenta previa based on the presence and number of cesarean deliveries and a history of spontaneous and induced abortion.
STUDY DESIGN
We reviewed studies on placenta previa published between 1950 and 1996 on the basis of a comprehensive literature search with use of MEDLINE and by identifying studies cited in the references of published reports. Studies were chosen for inclusion in the metaanalysis if the incidence of placenta previa and its cross-classification with either prior cesarean delivery or abortions (both spontaneous and induced) or both were available. We also extracted details about the study design (case-control or cohort study) and place where they were conducted (United States or other countries). Published case reports dealing with placenta previa and studies relating to abruptio placentae were excluded from this review. We also restricted the search to studies published in English. No attempts were made to locate any unpublished studies. Data from studies identified during the literature search were reviewed and abstracted by a single author. In case of discrepancies or when the information presented in a study was unclear, abstraction by a (blinded) second reviewer was sought to resolve the discrepancy.
RESULTS
Data on the incidence of placenta previa and its associations with previous cesarean delivery and abortions were abstracted. Subgroup analyses were performed to identify potential sources of heterogeneity by study design and place where they were conducted. Statistical methods used for the metaanalysis included the fixed-effects logistic regression model, whereas potential sources of heterogeneity among studies were evaluated by fitting random-effects models. The tabulation of 36 studies identified a total of 3.7 million pregnant women, of whom 13,992 patients were diagnosed with placenta previa. The reported incidence of placenta previa ranged between 0.28% and 2.0%, or approximately 1 in 200 deliveries. Women with at least one prior cesarean delivery were 2.6 (95% confidence interval 2.3 to 3.0) times at greater risk for development of placenta previa in a subsequent pregnancy. The results varied by study design, with case-control studies showing a stronger relative risk (relative risk 3.8, 95% confidence interval 2.3 to 6.4) than cohort studies did (relative risk 2.4, 95% confidence interval 2.1 to 2.8). Four studies, encompassing 170,640 pregnant women, provided data on the number of previous cesarean deliveries. These studies showed a dose-response pattern for the risk of previa on the basis of the number of prior cesarean deliveries. Relative risks were 4.5 (95% confidence interval 3.6 to 5.5) for one, 7.4 (95% confidence interval 7.1 to 7.7) for two, 6.5 (95% confidence interval 3.6 to 11.6) for three, and 44.9 (95% confidence interval 13.5 to 149.5) for four or more prior cesarean deliveries. Women with a history of spontaneous or induced abortion had a relative risk of placenta previa of 1.6 (95% confidence interval 1.0 to 2.6) and 1.7 (95% confidence interval 1.0 to 2.9), respectively. Substantial heterogeneity in the results of the metaanalysis was noted among studies.
CONCLUSION
There is a strong association between having a previous cesarean delivery, spontaneous or induced abortion, and the subsequent development of placenta previa. The risk increases with number of prior cesarean deliveries. Pregnant women with a history of cesarean delivery or abortion must be regarded as high risk for placenta previa and must be monitored carefully. This study provides yet another reason for reducing the rate of primary cesarean delivery and for advocating vaginal birth for women with prior cesarean delivery.
References
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Journal ArticleDOI
Precise mid-trimester placenta localisation: Does it predict adverse outcomes?
Alice Robinson,Peter Muller,Richard B. Allan,Richard Ross,Peter A. Baghurst,Peter A. Baghurst,Marc J. N. C. Keirse,Marc J. N. C. Keirse +7 more
TL;DR: A low‐lying placenta detected at the mid‐pregnancy ultrasound is commonly reported to warn against potential morbidity associated with Placenta praevia, but there is no information on what distance away from the internal cervical os is safe.
Journal ArticleDOI
Good quality of life after emergency embolisation in postpartum haemorrhage
Giel van Stralen,Laurine L. M. van Stralen-Ruijten,Cathelijne F. Spaargaren,Elizabeth Broadbent,Ad A. Kaptein,Sicco A. Scherjon +5 more
TL;DR: The results suggest that women who experience emergency embolisation have good quality of life at follow-up, and personality characteristics, illness perceptions, coping andquality of life (QoL) are similar.
Journal Article
Bilateral hypogastric artery ligation in emergency setting for intractable postpartum hemorrhage: a secondary care center experience.
TL;DR: Hypogastric artery ligation is an effective therapeutic option for severe postpartum hemorrhage and should be kept in mind during obstetric emergency conditions.
Journal ArticleDOI
Intraluminal pressure of uterine balloon tamponade in the management of severe post-partum hemorrhage.
Choi Wah Kong,William W. K. To +1 more
TL;DR: The intraluminal pressure (ILP) generated by the Bakri intrauterine balloon that is necessary to produce a ‘positive tamponade test’ during severe PPH is reviewed.
Journal ArticleDOI
Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation
Soichiro Obata,Michi Kasai,Junko Kasai,Kazuo Seki,Zenjiro Sekikawa,Izumi Torimoto,Shigeo Takebayashi,Fumiki Hirahara,Shigeru Aoki +8 more
TL;DR: UAE using NBCA may be a useful first-choice treatment for PPH with DIC and shows no significant intergroup differences in complete hemostasis according to the presence or absence of DIC based on obstetrical DIC score.