2,897 results match your criteria Abruptio Placentae

Extended Perinatal Mortality Audit in a Rural Hospital in India.

Am J Perinatol 2021 Apr 26. Epub 2021 Apr 26.

ISGlobal, Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.

Objective:  The aim of the study is to describe the status of perinatal mortality (PM) in an Indian rural hospital.

Study Design:  Retrospective analysis of data was compiled from PM meetings (April 2017 to December 2018) following "Making Every Baby Count: audit and review of stillbirths and neonatal deaths (ENAP or Every Newborn Action Plan)."

Results:  The study includes 8,801 livebirths, 105 stillbirths (SBs); 74 antepartum stillbirths [ASBs], 22 intrapartum stillbirths [ISBs], and nine unknown timing stillbirths [USBs]), 39 neonatal deaths or NDs (perinatal death or PDs 144). Read More

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Attenuation imaging as a new ultrasonographic application for identifying placental haematoma.

BMJ Case Rep 2021 Mar 2;14(3). Epub 2021 Mar 2.

Obstetrics and Gynecology, Hokkaido University, Sapporo, Hokkaido, Japan.

We present a case in which attenuation imaging (ATI), a recently developed ultrasonographic application, facilitated the diagnosis of preplacental and postplacental haematoma. Placental abruption is a serious condition that affects the prognosis of infants and is difficult to diagnose. Ultrasonography is the primary imaging modality that complements the clinical findings in the diagnosis; however, its sensitivity is low, and improved diagnostic accuracy is desired. Read More

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Early Prophylactic Enoxaparin for the Prevention of Preeclampsia and Intrauterine Growth Restriction: A Randomized Trial.

Fetal Diagn Ther 2020 25;47(11):824-833. Epub 2020 Aug 25.

Maternal and Child Health and Development Network II (SAMID II) RD16/0022, Institute of Health Carlos III, Madrid, Spain.

Background: Preeclampsia (PE) and intrauterine growth restriction (IUGR) are major causes of maternal and perinatal morbidity and mortality. Previous studies have shown that intervention with low-dose aspirin resulted in a reduction in the occurrence of preterm PE. However, no data are currently available on the effect of low-molecular-weight heparin (LMWH) for the prevention of pregnancy complications in women enrolled at first trimester screening. Read More

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The effects of traffic accidents on pregnancy: Is hospitalization necessary in every case?

Ulus Travma Acil Cerrahi Derg 2021 01;27(1):73-78

Department of Obstetrics And Gynecology, Marmara University İstanbul Pendik Training and Research Hospital, İstanbul-Turkey.

Background: This study aimed to show whether it is necessary to hospitalize pregnant women who have been involved in traffic accidents.

Methods: Patients at a hospital in Istanbul, Turkey, who underwent traffic accidents between 2012 and 2018 were studied, and pregnant patients' files were evaluated. Demographic and obstetric features of patients, type of accident, type of trauma, Glasgow Coma Score, whether or not hospitalization were examined, the response of patients to hospitalization, and the obstetric and maternal results of accidents were assessed. Read More

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January 2021

Pregnant Woman With Vaginal Bleeding.

Ann Emerg Med 2021 01;77(1):125-137

Emergency Department, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.

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January 2021

Placental abruption in immigrant women in Norway: A population-based study.

Acta Obstet Gynecol Scand 2021 04 23;100(4):658-665. Epub 2021 Jan 23.

Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.

Introduction: Placental abruption is a serious complication in pregnancy. Its incidence varies across countries, but the information of how placental abruption varies in immigrant populations is limited. The aims of this study were to estimate the incidence of placental abruption in immigrant women compared with non-immigrants by maternal country and region of birth, reason for immigration, and length of residence. Read More

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A comparison of three classification systems for stillbirth.

J Matern Fetal Neonatal Med 2020 Dec 13:1-7. Epub 2020 Dec 13.

Department of Obstetrics & Gynecology, University of Modena and Reggio Emilia, Modena, Italy.

Background: Understanding the causes of perinatal death can provide relevant information to couples, caregivers, and society. Classification systems play a crucial role in identifying the most relevant conditions suggesting preventive measures for decreasing stillbirth (SB). In 2016 the International Classification of Disease to Deaths during the Perinatal Period (ICD-PM) was released with the aim to suggest a universally accepted classification. Read More

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December 2020

Maternal Deaths due to Obstetric Haemorrhage in Dodoma Regional Referral Hospital, Tanzania.

Obstet Gynecol Int 2020 12;2020:8854498. Epub 2020 Nov 12.

Department of Public Health, College of Health Sciences, University of Dodoma, Dodoma, Tanzania.

Background: Despite the availability of comprehensive emergency obstetric care at Dodoma Regional Referral Hospital, deaths due to obstetric haemorrhage are still high. This study was carried out to analyse the circumstances that had caused these deaths.

Methods: A retrospective review of all files of women who had died of obstetric haemorrhage from January 2018 to December 2019 was made. Read More

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November 2020

Association of MTHFR 677C>T polymorphism with IUGR and placental abruption risk: A systematic review and meta-analysis.

Eur J Obstet Gynecol Reprod Biol 2021 Jan 11;256:130-139. Epub 2020 Nov 11.

Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Medical Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Objective: The effects of the MTHFR 677C > T polymorphism on the intrauterine growth restriction (IUGR) and placental abruption risk have been evaluated in some studies. However, those studies results were conflicting and ambiguous. Therefore, we carried out the current meta-analysis to evaluate the association of MTHFR 677C > T polymorphism with risk of IUGR and placental abruption from all eligible studies. Read More

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January 2021

Couvelaire Uterus.

N Engl J Med 2020 Nov;383(20):1973

National University Health System, Yong Loo Lin School of Medicine, Singapore, Singapore

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November 2020

Differences in pregnancy complications and outcomes by fetal gender among Japanese women: a multicenter cross-sectional study.

Sci Rep 2020 11 2;10(1):18810. Epub 2020 Nov 2.

Center for Maternal-Fetal, Neonatal and Reproductive Medicine, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

The association between fetal gender and rare pregnancy complications has not been extensively investigated, and no studies have examined this association in Japanese women. Thus, we used a large Japanese birth registry database to investigate the extent to which fetal gender affects various pregnancy outcomes. We analyzed 1,098,268 women with a singleton delivery with no congenital anomaly at 22 weeks or later between 2007 and 2015. Read More

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November 2020

Does macroscopic estimation of the extent of placental abruption correlate with pregnancy outcomes?

Eur J Obstet Gynecol Reprod Biol 2020 Nov 25;254:188-194. Epub 2020 Sep 25.

Departments of Obstetrics & Gynecology, the Edith Wolfson Medical Center, Holon, Israel; Affiliated With Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Introduction: We aimed to study the correlation between the extent of placental abruption (PA), as grossly estimated immediately after delivery, and pregnancy outcomes, in correlation with placental histopathology.

Materials And Methods: Pregnancy and placental reports of all pregnancies complicated by PA (clinically diagnosed) between 11/2008-12/2018 were reviewed. We compared maternal background, pregnancy outcomes, and placental histopathology between cases of PA divided into three groups according to the extent of abruption: Group 1-<30 %, Group 2-30-49 %, and Group 3->50 % of placental surface. Read More

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November 2020

Previous preterm cesarean delivery and risk of uterine rupture in subsequent trial of labor-a national cohort study.

Am J Obstet Gynecol 2021 04 28;224(4):380.e1-380.e13. Epub 2020 Sep 28.

Division of Clinical Epidemiology, Department of Medicine, Karolinska Institute, Solna, Stockholm, Sweden; Department of Women's Health, Karolinska University Hospital, Solna, Stockholm, Sweden.

Background: Previous cesarean delivery is the major risk factor for uterine rupture in subsequent trial of labor. It has been suggested that a previous preterm cesarean delivery is associated with an increased risk of uterine rupture compared with a previous term cesarean delivery. However, the proposed association has only been investigated in a few studies and never in a study based on unselected contemporary prospectively collected data. Read More

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Severe maternal morbidity and maternal near miss in a tertiary hospital of Delhi.

Natl Med J India 2019 Sep-Oct;32(5):270-276

Department of Community Medicine, ESIC Medical College and Hospital, NIT, Faridabad, Haryana, India.

Background: In addition to maternal mortality, information on maternal near miss and severe maternal morbidity are important in maternal healthcare. We aimed to determine the incidence, causes and outcome of severe maternal morbidity and near miss, and the sociodemographic and obstetric factors associated with these at a tertiary care teaching hospital in Delhi.

Methods: Women admitted with severe maternal morbidity and near miss, as defined by the WHO study group, were included in the study. Read More

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October 2020

A study of pregnancy after endometrial ablation using linked population data.

Acta Obstet Gynecol Scand 2021 02 12;100(2):286-293. Epub 2020 Oct 12.

Women and Babies Research, The University of Sydney Northern Clinical School, Sydney, NSW, Australia.

Introduction: Endometrial ablation encapsulates a range of procedures undertaken to destroy the endometrial lining of the uterus as a treatment for heavy menstrual bleeding in women who no longer wish to bear children. Pregnancy following ablation, while unlikely, can occur and may carry higher rates of complications. The aim of this study was to identify factors associated with post-endometrial ablation pregnancy and to describe pregnancy and birth outcomes for post-endometrial ablation pregnancies. Read More

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February 2021

New approach to the risk variables for administration of fibrinogen in patients with postpartum hemorrhage by using cluster analysis.

Int J Gynaecol Obstet 2021 Feb 28;152(2):256-261. Epub 2020 Oct 28.

Department of Gynecology and Obstetrics, Atatürk University School of Medicine, Erzurum, Turkey.

Objective: To analyze all the variables in women who received fibrinogen for postpartum hemorrhage (PPH) using hierarchical cluster analysis, to provide greater insight into the risk variables involved in these women.

Methods: This retrospective study of women with at least 500 mL of bleeding at birth or during the postpartum period and treated with fibrinogen was conducted at the Department of Obstetrics and Gynecology, Atatürk University School of Medicine from January 2013 to January 2018. Data on the women were obtained from medical records and various risk variables were recorded and analyzed using hierarchical cluster analysis. Read More

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February 2021

The etiology of stillbirth over 30 years: A cross-sectional study in a tertiary referral unit.

Acta Obstet Gynecol Scand 2021 02 29;100(2):314-321. Epub 2020 Sep 29.

Department of Histopathology, National Maternity Hospital, Dublin, Ireland.

Introduction: Stillbirth remains an often unpredictable and devastating pregnancy outcome, and despite thorough investigation, the number of stillbirths attributable to unexplained causes remains high. Placental examination has become increasingly important where access to perinatal autopsy is limited. We aimed to examine the causes of stillbirth in normally formed infants over 30 years and whether a declining autopsy rate has affected our ability to determine a cause for stillbirths. Read More

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February 2021

Hemodynamic maladaptation and left ventricular dysfunction in chronic hypertensive patients at the beginning of gestation and pregnancy complications: a case control study.

J Matern Fetal Neonatal Med 2020 Sep 15:1-7. Epub 2020 Sep 15.

Division of Obstetrics and Gynecology, Policlinico Casilino Hospital, Rome, Italy.

Objective: The aim of this study was to evaluate early pregnancy differences in maternal hemodynamics, cardiac geometry and function, between chronic hypertensive (CH) patients with and without the development of feto-maternal complications later in pregnancy.

Methods: We performed a case-control study on nulliparous CH treated patients. From a group of CH patients referred to our outpatient clinic at 4-6 weeks for a clinical evaluation the first consecutive 30 patients with subsequent complications (superimposed PE, abruptio placentae, uncontrolled severe hypertension with delivery <34 weeks, HELLP syndrome, FGR, perinatal death) were enrolled; the first 2 CH women with uneventful pregnancy referred after the case were enrolled as controls for a total of 60 patients. Read More

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September 2020

Obstetrical aspects of the National Blood Donation and Blood Saving Program

Orv Hetil 2020 09;161(37):1588-1598

Általános Orvostudományi Kar, Aneszteziológiai és Intenzív Terápiás Intézet,Pécsi Tudományegyetem, Pécs, Ifjúság út 13., 7624.

The aims of the National Blood Donation and Blood Saving Program are to support the rational and judicious utilization of blood products and abolish irrational transfusion policy to improve patient safety. In addition to the general principles, this program has got some special obstetrical aspects. Obstetrical, especially the postpartum haemorrhages belong to the leading causes of maternal mortality worldwide. Read More

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September 2020

Pregnancy-Related Complications in Women with Recurrent Pregnancy Loss: A Prospective Cohort Study.

J Clin Med 2020 Sep 1;9(9). Epub 2020 Sep 1.

Unità Operativa Complessa (U.O.C.) di Ostetricia e Patologia Ostetrica, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A.Gemelli Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy.

The aim of this prospective cohort study was to determine whether women with recurrent pregnancy loss (RPL) have an increased risk of pregnancy complications compared to normal pregnant women. A total of 1092 singleton pregnancies were followed, 431 in women with RPL and 661 in normal healthy women. The prevalence of the following complications was observed: threatened miscarriage, miscarriage, cervical insufficiency, chromosomal/genetic abnormalities, fetal anomalies, oligohydramnios, polyhydramnios, fetal growth restriction, intrauterine fetal death, gestational diabetes mellitus (GDM), preeclampsia, placenta previa, abruptio placentae, pregnancy-related liver disorders, and preterm premature rupture of the membranes. Read More

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September 2020

Associations of maternal smoking and drinking with fetal growth and placental abruption.

Eur J Obstet Gynecol Reprod Biol 2020 Oct 22;253:95-102. Epub 2020 Aug 22.

Department of Obstetrics and Gynecology, Stellenbosch University, Cape Town, South Africa.

Objective: To investigate pregnant women from the Safe Passage Study for the individual and combined effects of smoking and drinking during pregnancy on the prevalence of clinical placental abruption.

Study Design: The aim of the original Safe Passage Study was to investigate the association of alcohol use during pregnancy with stillbirths and sudden infant deaths. Recruitment for this longitudinal study occurred between August 2007 and October 2016. Read More

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October 2020

Emergency Obstetric Hysterectomy, the Histopathological Perspective: A Cross-Sectional Study From a Tertiary Care Hospital.

Cureus 2020 Jul 9;12(7):e9094. Epub 2020 Jul 9.

Pathology, Dow Medical College, Dow University of Health Sciences, Karachi, PAK.

Introduction Emergency obstetric hysterectomy (EOH) is a life-saving procedure which involves the surgical removal of uterus and is usually performed for uncontrollable maternal hemorrhage when all other conservative management has failed. This study was conducted to evaluate the histopathological findings in the EOH specimen received in the department of pathology. Methods This hospital-based cross-sectional study was conducted in the Histopathology Laboratory, Department of Pathology, and Dow Medical College (DMC) from September 2017 to December 2018. Read More

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Lower-Segment Transverse Cesarean Section.

Yuji Hiramatsu

Surg J (N Y) 2020 Jul 9;6(Suppl 2):S72-S80. Epub 2020 Jun 9.

Okayama City General Medical Center, Kita-Ku, Okayama, Japan.

Cesarean section is the ultimate method of successful delivery of infants under various circumstances and is an indispensable operation in obstetrics. However, the degree of difficulty varies greatly depending on the gestational weeks, number of fetuses, number of previous cesarean sections, degree of placental adhesion, presence of uterine myomas, maternal obesity, and other factors. In addition, emergency cesarean section is a battle against time, and prompt surgery is required. Read More

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Pregnancy outcomes in nulliparous women with positive first-trimester preterm preeclampsia screening test: the Great Obstetrical Syndromes cohort study.

Am J Obstet Gynecol 2021 02 7;224(2):204.e1-204.e7. Epub 2020 Aug 7.

CHU de Québec-Université Laval Research Center, Quebec City, Quebec, Canada; Department of Gynecology, Obstetrics and Reproduction, Université Laval, Québec City, Quebec, Canada. Electronic address:

Background: The Fetal Medicine Foundation proposed a competing risks model for early identification of women at a high risk of preterm preeclampsia, typically associated with deep placentation disorders. The Great Obstetrical Syndromes include a spectrum of pregnancy complications (preeclampsia, intrauterine growth restriction, preterm birth, late spontaneous abortion, and abruptio placentae) that are also associated with deep placentation disorders.

Objective: This study aimed to estimate the rate of placenta-mediated pregnancy complications in nulliparous women with a positive first-trimester Fetal Medicine Foundation preterm preeclampsia screening test. Read More

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February 2021

Understanding and Preventing Placenta-Mediated Pregnancy Complications.

Hamostaseologie 2020 Aug 29;40(3):356-363. Epub 2020 Jul 29.

Department of Haematology, School of Medicine, University College Dublin, Rotunda Hospital and Mater University Hospital, Irish Network for VTE Research (INViTE), Dublin, Ireland.

Placenta-mediated pregnancy complications are clinically important conditions and include preeclampsia, placental abruption, intrauterine growth restriction, and late fetal loss. Pathophysiology is complex, and may be linked to prothrombotic disorders such as antiphospholipid syndrome, whose understanding is still evolving. In this narrative review, we will present the latest evidence to better understand hemostatic mechanisms of preeclampsia, as well as in women with placenta-mediated pregnancy complications and inherited thrombophilia or antiphospholipid antibodies. Read More

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Placental Abruption as a Risk Factor for Heart Failure.

Am J Cardiol 2020 09 30;131:17-22. Epub 2020 Jun 30.

Department of Medicine, University of California, San Francisco, California; Division of Cardiology, University of California, San Francisco, California.

Complications of pregnancy present an opportunity to identify women at high risk of cardiovascular disease (CVD). Placental abruption is a severe and understudied pregnancy complication, and its relationship with CVD is poorly understood. The California Healthcare Cost and Utilization Project database was used to identify women with hospitalized pregnancies in California between 2005 and 2009, with follow-up through 2011. Read More

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September 2020

Comparison of general maternal and neonatal conditions and clinical outcomes between embryo transfer and natural conception.

BMC Pregnancy Childbirth 2020 Jul 27;20(1):422. Epub 2020 Jul 27.

Shunde Women and Children's Hospital of Guangdong Medical University, Shunde, 528399, Guangdong Province, China.

Background: To examine the differences between pregnant women who underwent embryo transfer (ET) and those who conceived naturally, as well as differences in their respective babies, and to determine the causes for these differences, to provide recommendations for women who are planning to undergo ET.

Methods: A retrospective cohort study was performed of women who had received ET and those who had natural conception (NC) who received medical services during pregnancy and had their babies delivered at the Shunde Women and Children's Hospital of Guangdong Medical University, China between January 2016 and December 2018. In line with the requirements of the ethics committee, before the formal investigation, we first explained the content of the informed consent of the patient to the patient, and all the subjects included agreed to the content of the informed consent of the patient. Read More

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Comparison of Labor and Delivery Complications and Delivery Methods Between Physicians and White-Collar Workers.

Int J Environ Res Public Health 2020 07 19;17(14). Epub 2020 Jul 19.

Center for Big Data Analytics and Statistics, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan 33302, Taiwan.

To evaluate labor and delivery complications and delivery modes between physicians and white-collar workers in Taiwan, this retrospective population-based study used data from Taiwan's National Health Insurance Research Database. We compared 1530 physicians aged 25 to 50 years old who worked and had singleton births between 2007 and 2013 with 3060 white-collar workers matched by age groups, groups of monthly insured payroll-related premiums, previous cesarean delivery, perinatal history anemia, and gestational diabetes mellitus. The logistic regression models were used to assess the labor and delivery complications between the two groups. Read More

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SARS-CoV-2 infection of the placenta.

J Clin Invest 2020 09;130(9):4947-4953

Department of Immunobiology, and.

BACKGROUNDThe effects of the novel coronavirus disease 2019 (COVID-19) in pregnancy remain relatively unknown. We present a case of second trimester pregnancy with symptomatic COVID-19 complicated by severe preeclampsia and placental abruption.METHODSWe analyzed the placenta for the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through molecular and immunohistochemical assays and by and electron microscopy and measured the maternal antibody response in the blood to this infection. Read More

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September 2020

Congenital thrombotic thrombocytopenic purpura (TTP) with placental abruption despite maternal improvement: a case report.

BMC Pregnancy Childbirth 2020 Jun 15;20(1):365. Epub 2020 Jun 15.

Department of Obstetrics, Gynecology, and Reproductive Biology, Division of Maternal Fetal Medicine, The Massachusetts General Hospital, Boston, MA, USA.

Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but serious complication in pregnancy that places the mother and fetus at high risk for morbidity and mortality. This case illustrates novel pregnancy complications associated with this rare medical condition.

Case Presentation: A 31-year-old G3P0020 at 28 weeks and 1 day was admitted with severe thrombocytopenia and was ultimately diagnosed with TTP. Read More

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