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

Abstract 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 ≥ 1,000mL 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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Main Authors: Orgul,Gokcen, Ayhan,Sule Goncu, Saracoglu,Gulhan Cetinkaya, Yucel,Aykan
Format: Digital revista
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000100009
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spelling oai:scielo:S0100-720320210001000092021-03-08Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?Orgul,GokcenAyhan,Sule GoncuSaracoglu,Gulhan CetinkayaYucel,Aykan cesarean section nulliparity placenta previa postpartum hemorrhage uterine bleeding Abstract 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 ≥ 1,000mL 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.info:eu-repo/semantics/openAccessFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia v.43 n.1 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000100009en10.1055/s-0040-1721355
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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libraryname SciELO
language English
format Digital
author Orgul,Gokcen
Ayhan,Sule Goncu
Saracoglu,Gulhan Cetinkaya
Yucel,Aykan
spellingShingle Orgul,Gokcen
Ayhan,Sule Goncu
Saracoglu,Gulhan Cetinkaya
Yucel,Aykan
Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
author_facet Orgul,Gokcen
Ayhan,Sule Goncu
Saracoglu,Gulhan Cetinkaya
Yucel,Aykan
author_sort Orgul,Gokcen
title Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
title_short Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
title_full Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
title_fullStr Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
title_full_unstemmed Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?
title_sort is it possible to predict massive bleeding in nulliparous women with placenta previa?
description Abstract 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 ≥ 1,000mL 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.
publisher Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000100009
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