Abstract | OBJECTIVES: 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:
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Authors | Hitoshi Matsui, Kohei Ogawa, Aikou Okamoto, Haruhiko Sago |
Journal | Journal of perinatal medicine
(J Perinat Med)
Vol. 49
Issue 6
Pg. 733-739
(Jul 27 2021)
ISSN: 1619-3997 [Electronic] Germany |
PMID | 33730770
(Publication Type: Journal Article)
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Copyright | © 2021 Walter de Gruyter GmbH, Berlin/Boston. |
Topics |
- Abruptio Placentae
(epidemiology, etiology, therapy)
- Adult
- Apgar Score
- Cesarean Section
(methods)
- Emergency Medical Services
(methods, statistics & numerical data)
- Female
- Humans
- Japan
- Oligohydramnios
(diagnosis, epidemiology)
- Pregnancy
- Pregnancy Outcome
(epidemiology)
- Risk Assessment
(methods)
- Risk Factors
- Uterine Hemorrhage
(diagnosis, epidemiology, etiology, therapy)
- Version, Fetal
(adverse effects, methods, statistics & numerical data)
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