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https://ciane.net/id=283

Created on : 18 Dec 2003
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Criteria for transfusion in severe postpartum hemorrhage: analysis of practice and risk factors. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2004;112(1):61-64.

Author(s) :

Reyal F, Sibony O, Oury J-F, Luton D, Bang J, Blot P.

Year of publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To analyze the accuracy of postpartum hemorrhage risk factors to determine patients at risk of severe postpartum hemorrhage and transfusion.

POPULATION AND METHODS: Retrospective cohort study from a database in one high-risk obstetric unit over a 7-year period.

RESULTS: In a cohort of 19,204 deliveries, 44 patients were transfused of whom five were given frozen fresh plasma only. Of the 39 who received red blood cells, 35 received at least three units. Multivariate analysis of postpartum hemorrhage risk factors revealed a significant role of placenta previa/accreta, cesarean section, multiple pregnancy, prematurity and vascular disease. Nevertheless 28% of women transfused had none of these risk factors.

CONCLUSION: The percentage of patients transfused has probably decreased markedly with improved prevention, surveillance and treatment. This study emphasizes that the transfusion risk in the presence of anomalous placental insertion justifies special obstetrical and anesthetic management.

Sumário (português)  :

Resumen (español)  :

Comments :

Les 28% restant peuvent correspondre à des variables qui n’ont pas été prises en compte dans cette étude, comme par exemple le déclenchement et l’expression abdominale.

Argument (français) :

Etude de 19204 accouchements. L’analyse multivariée des facteurs de risque d’hémorragie post-partum grave révèle une influence significative du placenta previa/accreta, de la césarienne, de la multiparité, de la prématurité et des maladies cardiovasculaires. Toutefois, 28% des femmes ayant eu une hémorragie ne présentaient aucun de ces risques.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; premature baby ; placenta previa/accreta ; prevention ; multiple pregnancy ; postpartum hemorrhage

Author of this record :

Cécile Loup — 18 Dec 2003
➡ latest update : Marion Corbe — 02 Dec 2007