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Báo cáo y học: "Maternal Outcomes According to Placental Position in Placental Previa"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Maternal Outcomes According to Placental Position in Placental Previa. | Int. J. Med. Sci. 2011 8 439 o IVYSPRING wBrnsno PLI International Journal of Medical Sciences 2011 8 5 439-444 Research Paper Maternal Outcomes According to Placental Position in Placental Previa Dong Gyu Jang Ji Sun We Jae Un Shin Yun Jin Choi Hyun Sun Ko In Yang Park Jong Chul Shin x Department of Obstetrics and Gynecology School of Medicine The Catholic University of Korea Seoul Korea H Corresponding author Jong Chul Shin Department of Obstetrics Gynecology Seoul St. Mary s Hospital 505 Banpo-dong Seocho-gu Seoul 137-701 Korea. Tel 82-2-2258-6169 Fax 82-2-595-1549 E-mail jcshin@catholic.ac.kr Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License http creativecommons.org licenses by-nc-nd 3.0 . Reproduction is permitted for personal noncommercial use provided that the article is in whole unmodified and properly cited. Received 2011.06.23 Accepted 2011.07.20 Published 2011.07.23 Abstract Purpose The purpose of this retrospective cohort study was to elucidate whether the location of placenta below uterine incision in cesarean section is important in the development of maternal complications in placenta previa patients. Methods The study was conducted on 409 patients 414 parturition at 3 hospitals in affiliation with the Catholic Medical Center Seoul Korea from May 1999 to December 2009. The subjects were divided to two groups the group whose placenta was located in the anterior portion of the uterus anterior group and the group whose placenta was located in the posterior portion of the uterus posterior group . And then they are compared to each other. Logistic regression was used to control for confounding factors. Results In the anterior group regardless of confounding factors the incidence of excessive blood loss OR 2.97 95 Cl 1.64-5.37 massive transfusion OR 3.31 95 CI 1.33-8.26 placental accreta OR 2.60 95 CI 1.40-4.83 and hysterectomy OR 3.47 95 CI 1.39-8.68 was higher. Conclusion .