| Predictors of massive blood loss in women with placenta accreta. | |
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MedLine Citation:
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PMID: 21419387 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: We examined predictors of massive blood loss for women with placenta accreta who had undergone hysterectomy. STUDY DESIGN: A retrospective review of women who underwent peripartum hysterectomy for pathologically confirmed placenta accreta was performed. Characteristics that are associated with massive blood loss (≥5000 mL) and large-volume transfusion (≥10 units packed red cells) were examined. RESULTS: A total of 77 patients were identified. The median blood loss was 3000 mL, with a median of 5 units of red cells transfused. There was no association among maternal age, gravidity, number of previous deliveries, number of previous cesarean deliveries, degree of placental invasion, or antenatal bleeding and massive blood loss or large-volume transfusion (P > .05). Among women with a known diagnosis of placenta accreta, 41.7% had an estimated blood loss of ≥5000 mL, compared with 12.0% of those who did not receive the diagnosis antenatally with ultrasound scanning (P = .01). CONCLUSION: There are few reliable predictors of massive blood loss in women with placenta accreta. |
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Authors:
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Jason D Wright; Shai Pri-Paz; Thomas J Herzog; Monjri Shah; Clarissa Bonanno; Sharyn N Lewin; Lynn L Simpson; Sreedhar Gaddipati; Xuming Sun; Mary E D'Alton; Patricia Devine |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-16 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: - ISSN: 1097-6868 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Gynecologic Oncology, College of Physicians and Surgeons, Columbia University, New York, NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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