PL.72 Risk Factors For Manual Removal of Placenta Across Parity

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Uterine perforation following manual removal of the placenta.

We present here a case of uterine perforation following manual removal of the placenta during the third stage of normal labor. Total abdominal hysterectomy was performed, and the 4x3-cm perforation of the uterus and placenta accreta were confirmed. In this case, the round ligament covering the hematoma prevented bleeding into the peritoneal cavity and peritonitis. Manual removal of the placenta...

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Policies for manual removal of placenta at vaginal delivery: variations in timing within Europe.

The length of the third stage of labour is a potential modifiable risk factor for postpartum haemorrhage at vaginal delivery, but there is no definitive evidence that early intervention to remove the placenta manually will prevent postpartum haemorrhage. We report a wide variation between countries in Europe in policies about the timing of manual removal of placenta. Two groups of countries wit...

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Manual Removal of the Placenta after Vaginal Delivery: An Unsolved Problem in Obstetrics

The third stage of labor is associated with considerable maternal morbidity and mortality. The major complication is postpartum hemorrhage (PPH), which is the leading cause of maternal morbidity and mortality worldwide. Whereas in the event of PPH due to atony of the uterus there exist numerous treatment guidelines; for the management of retained placenta the general consensus is more difficult...

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Spontaneous delivery or manual removal of the placenta during caesarean section: a randomised controlled trial.

OBJECTIVE To compare blood loss with spontaneous delivery and manual removal of the placenta during caesarean section. DESIGN A randomised controlled trial. SETTING Four university hospitals between September 1999 and June 2002. POPULATION A total of 472 women delivering by caesarean section at term were randomised to spontaneous placental delivery (n= 235) or manual removal (n= 237). M...

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Risk factors for placenta previa in an Asian population.

OBJECTIVE To identify the risk factors for placenta previa in an Asian population. METHODS This retrospective cohort study involved Taiwanese women delivered between July 1990 and December 2003 at Chang Gung Memorial Hospital, Taipei, Taiwan. Pregnancies complicated by multiple gestation and fetal anomalies were excluded. RESULTS There were 457 cases of placenta previa (1.2%) among the 37,7...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood - Fetal and Neonatal Edition

سال: 2013

ISSN: 1359-2998,1468-2052

DOI: 10.1136/archdischild-2013-303966.254