Conservative management of retained products of conception in the normal placental position: A retrospective observational study
Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Takahashi, Hironori [verfasserIn] Ohhashi, Mai [verfasserIn] Baba, Yosuke [verfasserIn] Nagayama, Shiho [verfasserIn] Ogoyama, Manabu [verfasserIn] Horie, Kenji [verfasserIn] Suzuki, Hirotada [verfasserIn] Usui, Rie [verfasserIn] Ohkuchi, Akihide [verfasserIn] Matsubara, Shigeki [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
Assisted reproductive technology |
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| Übergeordnetes Werk: |
Enthalten in: European journal of obstetrics & gynecology and reproductive biology - Amsterdam [u.a.] : Elsevier Science, 1971, 240, Seite 87-92 |
|---|---|
| Übergeordnetes Werk: |
volume:240 ; pages:87-92 |
| DOI / URN: |
10.1016/j.ejogrb.2019.06.016 |
|---|
| Katalog-ID: |
ELV002769387 |
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| 100 | 1 | |a Takahashi, Hironori |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Conservative management of retained products of conception in the normal placental position: A retrospective observational study |
| 264 | 1 | |c 2019 | |
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| 337 | |a Computermedien |b c |2 rdamedia | ||
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| 520 | |a Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. | ||
| 650 | 4 | |a Assisted reproductive technology | |
| 650 | 4 | |a Cesarean section | |
| 650 | 4 | |a Placenta accrete spectrum | |
| 650 | 4 | |a Retained products of conception | |
| 650 | 4 | |a Transarterial embolization | |
| 700 | 1 | |a Ohhashi, Mai |e verfasserin |4 aut | |
| 700 | 1 | |a Baba, Yosuke |e verfasserin |4 aut | |
| 700 | 1 | |a Nagayama, Shiho |e verfasserin |4 aut | |
| 700 | 1 | |a Ogoyama, Manabu |e verfasserin |4 aut | |
| 700 | 1 | |a Horie, Kenji |e verfasserin |4 aut | |
| 700 | 1 | |a Suzuki, Hirotada |e verfasserin |4 aut | |
| 700 | 1 | |a Usui, Rie |e verfasserin |4 aut | |
| 700 | 1 | |a Ohkuchi, Akihide |e verfasserin |4 aut | |
| 700 | 1 | |a Matsubara, Shigeki |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t European journal of obstetrics & gynecology and reproductive biology |d Amsterdam [u.a.] : Elsevier Science, 1971 |g 240, Seite 87-92 |h Online-Ressource |w (DE-627)320443469 |w (DE-600)2005196-7 |w (DE-576)094142106 |x 1872-7654 |7 nnns |
| 773 | 1 | 8 | |g volume:240 |g pages:87-92 |
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2019 |
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10.1016/j.ejogrb.2019.06.016 doi (DE-627)ELV002769387 (ELSEVIER)S0301-2115(19)30302-1 DE-627 ger DE-627 rda eng 610 DE-600 44.92 bkl Takahashi, Hironori verfasserin aut Conservative management of retained products of conception in the normal placental position: A retrospective observational study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization Ohhashi, Mai verfasserin aut Baba, Yosuke verfasserin aut Nagayama, Shiho verfasserin aut Ogoyama, Manabu verfasserin aut Horie, Kenji verfasserin aut Suzuki, Hirotada verfasserin aut Usui, Rie verfasserin aut Ohkuchi, Akihide verfasserin aut Matsubara, Shigeki verfasserin aut Enthalten in European journal of obstetrics & gynecology and reproductive biology Amsterdam [u.a.] : Elsevier Science, 1971 240, Seite 87-92 Online-Ressource (DE-627)320443469 (DE-600)2005196-7 (DE-576)094142106 1872-7654 nnns volume:240 pages:87-92 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie AR 240 87-92 |
| spelling |
10.1016/j.ejogrb.2019.06.016 doi (DE-627)ELV002769387 (ELSEVIER)S0301-2115(19)30302-1 DE-627 ger DE-627 rda eng 610 DE-600 44.92 bkl Takahashi, Hironori verfasserin aut Conservative management of retained products of conception in the normal placental position: A retrospective observational study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization Ohhashi, Mai verfasserin aut Baba, Yosuke verfasserin aut Nagayama, Shiho verfasserin aut Ogoyama, Manabu verfasserin aut Horie, Kenji verfasserin aut Suzuki, Hirotada verfasserin aut Usui, Rie verfasserin aut Ohkuchi, Akihide verfasserin aut Matsubara, Shigeki verfasserin aut Enthalten in European journal of obstetrics & gynecology and reproductive biology Amsterdam [u.a.] : Elsevier Science, 1971 240, Seite 87-92 Online-Ressource (DE-627)320443469 (DE-600)2005196-7 (DE-576)094142106 1872-7654 nnns volume:240 pages:87-92 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie AR 240 87-92 |
| allfields_unstemmed |
10.1016/j.ejogrb.2019.06.016 doi (DE-627)ELV002769387 (ELSEVIER)S0301-2115(19)30302-1 DE-627 ger DE-627 rda eng 610 DE-600 44.92 bkl Takahashi, Hironori verfasserin aut Conservative management of retained products of conception in the normal placental position: A retrospective observational study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization Ohhashi, Mai verfasserin aut Baba, Yosuke verfasserin aut Nagayama, Shiho verfasserin aut Ogoyama, Manabu verfasserin aut Horie, Kenji verfasserin aut Suzuki, Hirotada verfasserin aut Usui, Rie verfasserin aut Ohkuchi, Akihide verfasserin aut Matsubara, Shigeki verfasserin aut Enthalten in European journal of obstetrics & gynecology and reproductive biology Amsterdam [u.a.] : Elsevier Science, 1971 240, Seite 87-92 Online-Ressource (DE-627)320443469 (DE-600)2005196-7 (DE-576)094142106 1872-7654 nnns volume:240 pages:87-92 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie AR 240 87-92 |
| allfieldsGer |
10.1016/j.ejogrb.2019.06.016 doi (DE-627)ELV002769387 (ELSEVIER)S0301-2115(19)30302-1 DE-627 ger DE-627 rda eng 610 DE-600 44.92 bkl Takahashi, Hironori verfasserin aut Conservative management of retained products of conception in the normal placental position: A retrospective observational study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization Ohhashi, Mai verfasserin aut Baba, Yosuke verfasserin aut Nagayama, Shiho verfasserin aut Ogoyama, Manabu verfasserin aut Horie, Kenji verfasserin aut Suzuki, Hirotada verfasserin aut Usui, Rie verfasserin aut Ohkuchi, Akihide verfasserin aut Matsubara, Shigeki verfasserin aut Enthalten in European journal of obstetrics & gynecology and reproductive biology Amsterdam [u.a.] : Elsevier Science, 1971 240, Seite 87-92 Online-Ressource (DE-627)320443469 (DE-600)2005196-7 (DE-576)094142106 1872-7654 nnns volume:240 pages:87-92 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie AR 240 87-92 |
| allfieldsSound |
10.1016/j.ejogrb.2019.06.016 doi (DE-627)ELV002769387 (ELSEVIER)S0301-2115(19)30302-1 DE-627 ger DE-627 rda eng 610 DE-600 44.92 bkl Takahashi, Hironori verfasserin aut Conservative management of retained products of conception in the normal placental position: A retrospective observational study 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization Ohhashi, Mai verfasserin aut Baba, Yosuke verfasserin aut Nagayama, Shiho verfasserin aut Ogoyama, Manabu verfasserin aut Horie, Kenji verfasserin aut Suzuki, Hirotada verfasserin aut Usui, Rie verfasserin aut Ohkuchi, Akihide verfasserin aut Matsubara, Shigeki verfasserin aut Enthalten in European journal of obstetrics & gynecology and reproductive biology Amsterdam [u.a.] : Elsevier Science, 1971 240, Seite 87-92 Online-Ressource (DE-627)320443469 (DE-600)2005196-7 (DE-576)094142106 1872-7654 nnns volume:240 pages:87-92 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.92 Gynäkologie AR 240 87-92 |
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English |
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Enthalten in European journal of obstetrics & gynecology and reproductive biology 240, Seite 87-92 volume:240 pages:87-92 |
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Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization |
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European journal of obstetrics & gynecology and reproductive biology |
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Takahashi, Hironori @@aut@@ Ohhashi, Mai @@aut@@ Baba, Yosuke @@aut@@ Nagayama, Shiho @@aut@@ Ogoyama, Manabu @@aut@@ Horie, Kenji @@aut@@ Suzuki, Hirotada @@aut@@ Usui, Rie @@aut@@ Ohkuchi, Akihide @@aut@@ Matsubara, Shigeki @@aut@@ |
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2019-01-01T00:00:00Z |
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Takahashi, Hironori |
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Takahashi, Hironori ddc 610 bkl 44.92 misc Assisted reproductive technology misc Cesarean section misc Placenta accrete spectrum misc Retained products of conception misc Transarterial embolization Conservative management of retained products of conception in the normal placental position: A retrospective observational study |
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610 DE-600 44.92 bkl Conservative management of retained products of conception in the normal placental position: A retrospective observational study Assisted reproductive technology Cesarean section Placenta accrete spectrum Retained products of conception Transarterial embolization |
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ddc 610 bkl 44.92 misc Assisted reproductive technology misc Cesarean section misc Placenta accrete spectrum misc Retained products of conception misc Transarterial embolization |
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ddc 610 bkl 44.92 misc Assisted reproductive technology misc Cesarean section misc Placenta accrete spectrum misc Retained products of conception misc Transarterial embolization |
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ddc 610 bkl 44.92 misc Assisted reproductive technology misc Cesarean section misc Placenta accrete spectrum misc Retained products of conception misc Transarterial embolization |
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Conservative management of retained products of conception in the normal placental position: A retrospective observational study |
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Conservative management of retained products of conception in the normal placental position: A retrospective observational study |
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Takahashi, Hironori |
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European journal of obstetrics & gynecology and reproductive biology |
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Takahashi, Hironori Ohhashi, Mai Baba, Yosuke Nagayama, Shiho Ogoyama, Manabu Horie, Kenji Suzuki, Hirotada Usui, Rie Ohkuchi, Akihide Matsubara, Shigeki |
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10.1016/j.ejogrb.2019.06.016 |
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conservative management of retained products of conception in the normal placental position: a retrospective observational study |
| title_auth |
Conservative management of retained products of conception in the normal placental position: A retrospective observational study |
| abstract |
Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. |
| abstractGer |
Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. |
| abstract_unstemmed |
Objectives: To clarify the outcome of retained products of conception (RPOC) without placenta previa.Study design: This was a retrospective cohort study consisting of 59 patients who abdominally or vaginally gave birth to infants after 14 weeks without placenta previa and had RPOC between April 2006 and December 2018. Patients’ background, characteristics, and outcomes were compared between those requiring and not-requiring intervention for RPOC.Results: Of the 59 patients, pregnancies after assisted reproductive technology accounted for 18 (31%). The ultrasound-measured RPOC length was 4 cm (median) and 39 (66%) showed hypervascularity within RPOC. Interventions were required in 36 patients (61%), with all due to bleeding-related events. Multivariate regression analyses revealed that the interventions were significantly more likely in the following situations: younger than 35 years (aOR: 4.2, 95%CI: 1.1–18.5), RPOC length ≥4 cm (aOR: 8.6, 95%CI: 2.4–39.2), and RPOC hypervascularity (aOR: 4.6, 95%CI: 1.3–18.8). Methotrexate was administered to 8 patients, of whom 4 (50%) required further hemostatic interventions.Conclusion: In patients with RPOC without previa, 61 and 39% did and did not require hemostatic interventions, respectively. In the latter, a wait-and-see strategy resulted in the resolution of RPOC. Patients with larger RPOC (≥4-cm fragment length) and hypervascularity were significantly more likely to require hemostatic intervention. |
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Conservative management of retained products of conception in the normal placental position: A retrospective observational study |
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Ohhashi, Mai Baba, Yosuke Nagayama, Shiho Ogoyama, Manabu Horie, Kenji Suzuki, Hirotada Usui, Rie Ohkuchi, Akihide Matsubara, Shigeki |
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