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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Manual removal of the placenta and postpartum hemorrhage: A multicenter retrospective study

http://hdl.handle.net/2237/0002002064
e414f0b2-6370-412c-b486-ad5602a6e76a
名前 / ファイル ライセンス アクション
Manual_removal_of_placenta.pdf Manual_removal_of_placenta.pdf (309 KB)
 Download is available from 2022/10/31.
Item type itemtype_ver1(1)
公開日 2022-02-09
タイトル
タイトル Manual removal of the placenta and postpartum hemorrhage: A multicenter retrospective study
言語 en
著者 Fujita, Kei

× Fujita, Kei

en Fujita, Kei

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Ushida, Takafumi

× Ushida, Takafumi

en Ushida, Takafumi

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Imai, Kenji

× Imai, Kenji

en Imai, Kenji

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Nakano‐Kobayashi, Tomoko

× Nakano‐Kobayashi, Tomoko

en Nakano‐Kobayashi, Tomoko

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Iitani, Yukako

× Iitani, Yukako

en Iitani, Yukako

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Matsuo, Seiko

× Matsuo, Seiko

en Matsuo, Seiko

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Yoshida, Shigeru

× Yoshida, Shigeru

en Yoshida, Shigeru

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Yamashita, Mamoru

× Yamashita, Mamoru

en Yamashita, Mamoru

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Kajiyama, Hiroaki

× Kajiyama, Hiroaki

en Kajiyama, Hiroaki

Search repository
Kotani, Tomomi

× Kotani, Tomomi

en Kotani, Tomomi

Search repository
アクセス権
アクセス権 embargoed access
アクセス権URI http://purl.org/coar/access_right/c_f1cf
権利
言語 en
権利情報 "This is the peer reviewed version of the following article: [Fujita, K., Ushida, T., Imai, K., Nakano-Kobayashi, T., Iitani, Y., Matsuo, S., Yoshida, S., Yamashita, M., Kajiyama, H. and Kotani, T. (2021), Manual removal of the placenta and postpartum hemorrhage: A multicenter retrospective study. J. Obstet. Gynaecol. Res., 47: 3867-3874. https://doi.org/10.1111/jog.15004], which has been published in final form at [https://doi.org/10.1111/jog.15004]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited."
内容記述
内容記述 Aim: In postpartum women, retained placenta is diagnosed in the absence of signs of placental separation and expulsion, and requires manual removal of the placenta (MROP). MROP may lead to massive hemorrhage, hemodynamic instability, and the need for emergency interventions including blood transfusion, interventional radiology, and hysterectomy. In this study, we aimed to identify the risk factors for retained placenta requiring MROP after vaginal delivery and postpartum hemorrhage (PPH) following MROP. Methods: A multicenter retrospective study was performed using data from women who delivered at term between 2010 and 2018 at 13 facilities in Japan. Of 36 454 eligible women, 112 women who required MROP were identified. Multivariate logistic regression analyses were conducted to evaluate the risk factors for retained placenta and PPH following MROP. Results: A history of abortion, assisted reproductive technology (ART), instrumental delivery, and delivery of small-for-gestational-age infant were independent risk factors for MROP (adjusted odds ratios [95% confidence intervals]: 1.93 [1.28–2.92], 8.41 [5.43–13.05], 1.80 [1.14–2.82], and 4.32 [1.97–9.48], respectively). ART was identified as an independent risk factor for PPH (adjusted odds ratio [95% confidence interval]: 6.67 [2.42–18.36]) in patients who underwent MROP. Conclusion: ART pregnancies significantly increased the risk of retained placenta requiring MROP and PPH. Our results suggest that clinicians need consider patient transfer to a higher-level facility and preparation of sufficient blood products before initiating MROP in cases of ART pregnancies. Our study may assist in identifying high-risk women for PPH before MROP and in guiding treatment decisions, especially in facilities without a blood bank.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Wiley
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
関連情報
関連タイプ isVersionOf
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1111/jog.15004
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 1341-8076
書誌情報 en : Journal of Obstetrics and Gynaecology Research

巻 47, 号 11, p. 3867-3874, 発行日 2021-11
ファイル公開日
日付 2022-11-01
日付タイプ Available
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