Artikel ; Online: Risk factors and outcomes of abnormal bleeding after external cephalic version.
2021 Band 49, Heft 6, Seite(n) 733–739
Abstract: Objectives: To present the consequences of and risk factors for abnormal bleeding after ECV (external cephalic version).: Methods: We conducted a retrospective chart review at a single center in Japan. Abnormal bleeding was defined as vaginal ... ...
Abstract | Objectives: To present the consequences of and risk factors for abnormal bleeding after ECV (external cephalic version). Methods: We conducted a retrospective chart review at a single center in Japan. Abnormal bleeding was defined as vaginal bleeding and/or intrauterine hemorrhage. We descriptively assessed birth outcomes among women with abnormal bleeding, and investigated the risk factors using a logistic regression analysis. Results: Of 477 women who received ECV, 39 (8.2%) showed abnormal bleeding, including 16 (3.4%) with intrauterine hemorrhage. Of the 16 women with intrauterine hemorrhage, 14 required emergency cesarean section; none experienced placental abruption, a low Apgar score at 5 min (<7), or low umbilical cord artery pH (<7.1). Among 23 women who had vaginal bleeding without intrauterine hemorrhage, four cases underwent emergency cesarean section and one case of vaginal delivery involved placental abruption. The risk of abnormal bleeding was higher in women with a maximum vertical pocket (MVP) of <40 mm in comparison to those with an MVP of >50 mm (adjusted odds ratio [OR]: 3.48, 95% confidence interval [CI]: 1.23-9.90), as was higher in women with unsuccessful ECV than in those with successful ECV (aOR: 4.54, 95% CI: 1.95-10.6). Conclusions: A certain number of women who underwent ECV had abnormal bleeding, including vaginal bleeding and/or intrauterine hemorrhage, many of them resulted in emergency cesarean section. Although all of cases with abnormal bleeding had good birth outcomes, one case of vaginal bleeding was accompanied by placental abruption. Small amniotic fluid volume and unsuccessful ECV are risk factors for abnormal bleeding. |
---|---|
Mesh-Begriff(e) | Abruptio Placentae/epidemiology ; Abruptio Placentae/etiology ; Abruptio Placentae/therapy ; Adult ; Apgar Score ; Cesarean Section/methods ; Emergency Medical Services/methods ; Emergency Medical Services/statistics & numerical data ; Female ; Humans ; Japan ; Oligohydramnios/diagnosis ; Oligohydramnios/epidemiology ; Pregnancy ; Pregnancy Outcome/epidemiology ; Risk Assessment/methods ; Risk Factors ; Uterine Hemorrhage/diagnosis ; Uterine Hemorrhage/epidemiology ; Uterine Hemorrhage/etiology ; Uterine Hemorrhage/therapy ; Version, Fetal/adverse effects ; Version, Fetal/methods ; Version, Fetal/statistics & numerical data |
Sprache | Englisch |
Erscheinungsdatum | 2021-03-18 |
Erscheinungsland | Germany |
Dokumenttyp | Journal Article |
ZDB-ID | 123512-6 |
ISSN | 1619-3997 ; 0300-5577 ; 0936-174X |
ISSN (online) | 1619-3997 |
ISSN | 0300-5577 ; 0936-174X |
DOI | 10.1515/jpm-2020-0453 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
Zs.A 926: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.