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Retrospective study of pregnant women placed under expectant management for persistent hemorrhage.

Abstract：

OBJECTIVE:To examine the clinicopathological characteristics of pregnant women who presented with intermittent hemorrhage occurring throughout pregnancy until delivery. METHOD:A total of 24 women with intermittent hemorrhage occurring throughout pregnancy were categorized into two groups, a group with persistent subchorionic hematoma (PSH) and another with chronic abruption (CA), and the pregnancy outcomes were compared between the two groups. The data were expressed as medians (range). RESULTS:There were 18 women in the PSH group and 6 women in the CA group. The median gestational age at delivery was 27.9 (22.1-33.4) weeks in the PSH group and 32.9 (24.3-33.1) weeks in the CA group, revealing a significantly earlier gestational age at delivery in the former group (p = 0.014). The percentage of the women developing acute abruption tended to be higher in the CA group [66.7 % (4/6)] than in the PSH group [26.3 % (5/18)]. Small for gestational age (SGA) infants and neonatal chronic lung disease were seen at high incidences, but only in the PSH group [21.1 % (4/18) and 42.1 % (8/18), respectively]. CONCLUSION:PSH was associated with earlier gestational age at delivery, a higher incidence of SGA infants, and poorer pregnancy outcomes than CA.

journal_name

Arch Gynecol Obstet

journal_title

Archives of gynecology and obstetrics

authors

Aoki S,Inagaki M,Kurasawa K,Okuda M,Takahashi T,Hirahara F

doi

10.1007/s00404-013-2972-z

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

307-11

issue

2

eissn

0932-0067

issn

1432-0711

journal_volume

289

pub_type

杂志文章

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