| Autor: |
Saowapark Chumpathong, Shusee Visalyaputra, Waewdao Sanguanpong, Jantra Tipchai, Benno von Bormann, Saipin Muangman, Pranee Rushatamukayanunt, Suppachai Poolsuppasit |
| Jazyk: |
angličtina |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Siriraj Medical Journal, Vol 67, Iss 6, Pp 254-261 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
2228-8082 |
| Popis: |
Background: Hemorrhage is a leading cause of maternal death. Placenta previa increases risk of massive bleeding, requires massive blood transfusion, and increases incidence of hysterectomy. Objective: To identify risk factors for blood transfusion in Thai women with placenta previa undergoing cesarean section. Methods: This was a retrospective case-control study of patients who had placenta previa and underwent cesarean section during January 2002 to December 2011. A total of 885 singleton pregnancies with placenta previa who delivered by cesarean section after 24 weeks’ gestation were analyzed. Patients with placenta adherence were not included. Results: Of 885 patients studied, 166 patients (18.8%) received blood transfusion. Independent risk factors (odds ratio (OR); 95% confidence interval (CI) for transfusion were preoperative anemia (OR 2.8; 1.8-4.37), history of uterine curettage (OR 1.82; 1.08-3.05), previous cesarean section (OR 2.61; 1.52-4.48), complete placenta previa (OR 3.03; 1.96-4.68), general anesthesia (OR 3.8; 2.53-5.72), and after-hours surgery (OR 1.6; 1.06-2.42). Conclusion: Incidence of blood transfusion in women with placenta previa was 18.8%. Risk factors for blood transfusion were preoperative anemia, history of uterine curettage and/or cesarean section, complete placenta previa, general anesthesia, and after-hours surgery. Identification of these risk factors may alert practitioners to undertake preoperative precautions to avoid massive bleeding. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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