The retained placenta: Historical and geographical rate variations

The retained placenta: Historical and geographical rate variations
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DOI:
10.3109/01443615.2010.531301
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发表时间:
2011-01-01
影响因子:
1.3
通讯作者:
Weeks, A. D.
Weeks, A. D.
中科院分区:
医学4区
文献类型:
--
作者:
Cheung, W. M. C.;Hawkes, A.;Weeks, A. D.

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在这项研究中,我们试图探索世界各地和英国随时间推移报告的胎盘滞留率的变化。对观察性研究进行系统回顾,以获得世界各地的胎盘滞留率,并检查皇家妇产科医师学院档案的年度医院报告,以获得历史胎盘滞留率。数据显示,发达国家30分钟时胎盘滞留的中位率较高(2.67% vs 1.46%,p < 0.02),手动取出率的中位率也较高(2.24% vs 0.45%,p < 0.001)。除此之外,在英国,人工切除率似乎从20世纪20年代的平均0.66%上升到20世纪80年代的2.34%(p < 0.0001)。
In this study, we sought to explore the variation in reported rates of retained placenta around the world and over time in the UK. A systematic review of observational studies was performed to obtain retained placenta rates from around the world and annual hospital reports from the Royal College of Obstetricians and Gynaecologists archives were examined to obtain historical retained placenta rates. The data show that the median rate of retained placenta at 30 minutes was higher in developed countries (2.67% vs 1.46%, p < 0.02), as was the median manual removal rate (2.24% vs 0.45%, p < 0.001). In addition to this, there appears to have been a rise in rate of manual removal in the UK from a mean of 0.66% in the 1920s to 2.34% in the 1980s (p < 0.0001).