Journal of pregnancy · 2010
Is the perinatal outcome of placental abruption modified by clinical presentation?
СтатьяНазвание и аннотация: Перевод в очереди
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Furukawa Seishi, Sameshima Hiroshi, Ikenoue Tsuyomu, Ohashi Masanao, Nagai Yoshio
Аннотация
OBJECTIVE: The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption.
STUDY DESIGN: A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n = 22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n = 35), clinically low risk (LR, n = 27), and others (n = 13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups.
RESULTS: The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen.
CONCLUSION: Disease severity in placental abruption is likely to depend on the clinical presentation.
STUDY DESIGN: A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n = 22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n = 35), clinically low risk (LR, n = 27), and others (n = 13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups.
RESULTS: The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen.
CONCLUSION: Disease severity in placental abruption is likely to depend on the clinical presentation.