Prediction of perinatal outcomes based on primary symptoms in women with placental abruption
Prediction of perinatal outcomes based on primary symptoms in women with placental abruption
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DOI：
10.1111/jog.12637
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发表时间：
2015-06-01
影响因子：
1.6
通讯作者：
Hirahara, Fumiki
中科院分区：
文献类型：
--
作者：
Kasai, Michi;Aoki, Shigeru;Hirahara, Fumiki
胎盘早剥是围产儿死亡和发病的重要原因。虽然关于胎盘早剥的危险因素报道较多，但对其分类的报道较少。我们的目的是评估的主要症状和胎盘prevention.Material和MethodsWe的结果之间的关联进行了回顾性队列研究的12474出生在围产期中心的产妇和新生儿的横滨市立大学医学中心2000年1月至2012年12月。共有151名胎盘早剥妇女，其中136名被纳入本研究。受试者根据其主要症状分为两组：出血组（外出血组）和腹痛组（腹痛组）。结果腹痛组胎儿宫内死亡率（6.5%）明显低于外出血组（33.3%）（P
AimsPlacental abruption is an important cause of perinatal mortality and morbidity. Although there are many reports on the risk factors for placental abruption, there are few on its classification. Our aim is to evaluate the associations between primary symptoms and the outcomes of placental abruption.Material and MethodsWe carried out a retrospective cohort study of 12474 births at the Perinatal Center for Maternity and Neonates of the Yokohama City University Medical Center between January 2000 and December 2012. There were 151 women with placental abruption, 136 of whom were included in this study. The subjects were classified into two groups according to their primary symptoms: those with bleeding (external bleeding group) and those with abdominal pain (abdominal pain group). Maternal and neonatal outcomes were compared between the two groups.ResultsBoth fetal and maternal outcomes were significantly poorer in the abdominal pain group than in the external bleeding group in terms of intrauterine fetal death (6.5% vs 33.3%, P