Nationwide survey (Japan) on spontaneous hemoperitoneum in pregnancy
| Autor: | Yutaka Osuga, Shigeru Saito, Miki Hagimoto, Hiroaki Tanaka, Shoji Sato, Tomoaki Ikeda, Kiyonori Miura, Junichi Sugawara |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Placenta Endometriosis Miscarriage 03 medical and health sciences 0302 clinical medicine Japan Pregnancy medicine Humans Retrospective Studies Asphyxia Fetus 030219 obstetrics & reproductive medicine Placental abruption business.industry Obstetrics Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Odds ratio medicine.disease 030220 oncology & carcinogenesis Hemoperitoneum Premature Birth Female Maternal death medicine.symptom business |
| Zdroj: | Journal of Obstetrics and Gynaecology Research. 47:2646-2652 |
| ISSN: | 1447-0756 1341-8076 |
| Popis: | AIM The purpose of this study was to evaluate the current state and clinical characteristics of spontaneous hemoperitoneum in pregnancy (SHiP) in Japan by performing a comprehensive survey. METHODS We reviewed data on pregnant women who developed SHiP during 2013-2017 (for 5 years), and were admitted to any of the perinatal centers in Japan. The survey assessed maternal background and maternal and neonatal prognosis. We divided the cases into two groups, favorable and poor prognosis groups, and made comparisons between the two groups. RESULTS Of the 407 facilities in Japan, 267 (66%) facilities responded to our survey. Overall, 31 cases of SHiP were registered. Maternal death occurred in one case (3%) due to liver bleeding with an unknown cause. Of 23 cases with a SHiP onset during pregnancy, 12 (53%) had been misdiagnosed as placental abruption. The prognosis for the fetuses included miscarriage or stillbirth in three cases (10%) and asphyxia in 12 cases (42%). There was no significant correlation between the amount of intra-abdominal blood loss and neonatal prognosis based on umbilical artery pH. Incidences of preterm birth |
| Databáze: | OpenAIRE |
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