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Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021

Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?

СтатьяНазвание и аннотация: Перевод в очереди
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Orgul Gokcen, Ayhan Sule Goncu, Saracoglu Gulhan Cetinkaya, Yucel Aykan

Аннотация

OBJECTIVE: We evaluated risk factors to determine if there were specific risk factors that could predict massive bleeding in nulliparous women with placenta previa.

METHODS: The participants were classified into two groups. Women with a calculated blood loss ≥ 1,000 mL were included in the massive bleeding group. Women without any signs or symptoms related with hypovolemia or with a calculated bleeding volume < 1,000 mL were categorized into the non-massive bleeding group.

RESULTS: There were 28 patients (40.6%) with massive bleeding and 41 cases (59.4%) with non-massive bleeding. The calculated blood loss and number of cases that required red cell transfusions were statistically different between the groups (< 0.005 and 0.002, respectively). There were no statistically significant differences in terms of maternal or fetal factors, placental location, or delivery characteristics between the two groups.

CONCLUSION: We could not determine the predictive features for massive hemorrhage based on clinical features, delivery features, or placental location.

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