Clinical risk factors for complete and partial placental retention – a case-control study
Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring betwee...
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E-Artikel |
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| Erschienen: |
De Gruyter ; 2013 |
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6 |
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| Reproduktion: |
Walter de Gruyter Online Zeitschriften |
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Enthalten in: Journal of perinatal medicine - Berlin [u.a.] : de Gruyter, 1973, 41(2013), 5 vom: 11. Apr., Seite 529-534 |
| Übergeordnetes Werk: |
volume:41 ; year:2013 ; number:5 ; day:11 ; month:04 ; pages:529-534 ; extent:6 |
| Links: |
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| DOI / URN: |
10.1515/jpm-2012-0260 |
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NLEJ247133930 |
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| 520 | |a Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. | ||
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10.1515/jpm-2012-0260 doi artikel_Grundlieferung.pp (DE-627)NLEJ247133930 DE-627 ger DE-627 rakwb Clinical risk factors for complete and partial placental retention – a case-control study De Gruyter 2013 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. Walter de Gruyter Online Zeitschriften Cesarean section fetal complications placenta accreta placental retention ultrasound Klar, Maximilian oth Laub, Martina oth Schulte-Moenting, Juergen oth Proempeler, Heinrich oth Kunze, Mirjam oth Enthalten in Journal of perinatal medicine Berlin [u.a.] : de Gruyter, 1973 41(2013), 5 vom: 11. Apr., Seite 529-534 (DE-627)NLEJ248236229 (DE-600)1467968-1 16193997 nnns volume:41 year:2013 number:5 day:11 month:04 pages:529-534 extent:6 https://doi.org/10.1515/jpm-2012-0260 Deutschlandweit zugänglich GBV_USEFLAG_U ZDB-1-DGR GBV_NL_ARTICLE AR 41 2013 5 11 04 529-534 6 |
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10.1515/jpm-2012-0260 doi artikel_Grundlieferung.pp (DE-627)NLEJ247133930 DE-627 ger DE-627 rakwb Clinical risk factors for complete and partial placental retention – a case-control study De Gruyter 2013 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. Walter de Gruyter Online Zeitschriften Cesarean section fetal complications placenta accreta placental retention ultrasound Klar, Maximilian oth Laub, Martina oth Schulte-Moenting, Juergen oth Proempeler, Heinrich oth Kunze, Mirjam oth Enthalten in Journal of perinatal medicine Berlin [u.a.] : de Gruyter, 1973 41(2013), 5 vom: 11. Apr., Seite 529-534 (DE-627)NLEJ248236229 (DE-600)1467968-1 16193997 nnns volume:41 year:2013 number:5 day:11 month:04 pages:529-534 extent:6 https://doi.org/10.1515/jpm-2012-0260 Deutschlandweit zugänglich GBV_USEFLAG_U ZDB-1-DGR GBV_NL_ARTICLE AR 41 2013 5 11 04 529-534 6 |
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10.1515/jpm-2012-0260 doi artikel_Grundlieferung.pp (DE-627)NLEJ247133930 DE-627 ger DE-627 rakwb Clinical risk factors for complete and partial placental retention – a case-control study De Gruyter 2013 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. Walter de Gruyter Online Zeitschriften Cesarean section fetal complications placenta accreta placental retention ultrasound Klar, Maximilian oth Laub, Martina oth Schulte-Moenting, Juergen oth Proempeler, Heinrich oth Kunze, Mirjam oth Enthalten in Journal of perinatal medicine Berlin [u.a.] : de Gruyter, 1973 41(2013), 5 vom: 11. Apr., Seite 529-534 (DE-627)NLEJ248236229 (DE-600)1467968-1 16193997 nnns volume:41 year:2013 number:5 day:11 month:04 pages:529-534 extent:6 https://doi.org/10.1515/jpm-2012-0260 Deutschlandweit zugänglich GBV_USEFLAG_U ZDB-1-DGR GBV_NL_ARTICLE AR 41 2013 5 11 04 529-534 6 |
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10.1515/jpm-2012-0260 doi artikel_Grundlieferung.pp (DE-627)NLEJ247133930 DE-627 ger DE-627 rakwb Clinical risk factors for complete and partial placental retention – a case-control study De Gruyter 2013 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. Walter de Gruyter Online Zeitschriften Cesarean section fetal complications placenta accreta placental retention ultrasound Klar, Maximilian oth Laub, Martina oth Schulte-Moenting, Juergen oth Proempeler, Heinrich oth Kunze, Mirjam oth Enthalten in Journal of perinatal medicine Berlin [u.a.] : de Gruyter, 1973 41(2013), 5 vom: 11. Apr., Seite 529-534 (DE-627)NLEJ248236229 (DE-600)1467968-1 16193997 nnns volume:41 year:2013 number:5 day:11 month:04 pages:529-534 extent:6 https://doi.org/10.1515/jpm-2012-0260 Deutschlandweit zugänglich GBV_USEFLAG_U ZDB-1-DGR GBV_NL_ARTICLE AR 41 2013 5 11 04 529-534 6 |
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10.1515/jpm-2012-0260 doi artikel_Grundlieferung.pp (DE-627)NLEJ247133930 DE-627 ger DE-627 rakwb Clinical risk factors for complete and partial placental retention – a case-control study De Gruyter 2013 6 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. Walter de Gruyter Online Zeitschriften Cesarean section fetal complications placenta accreta placental retention ultrasound Klar, Maximilian oth Laub, Martina oth Schulte-Moenting, Juergen oth Proempeler, Heinrich oth Kunze, Mirjam oth Enthalten in Journal of perinatal medicine Berlin [u.a.] : de Gruyter, 1973 41(2013), 5 vom: 11. Apr., Seite 529-534 (DE-627)NLEJ248236229 (DE-600)1467968-1 16193997 nnns volume:41 year:2013 number:5 day:11 month:04 pages:529-534 extent:6 https://doi.org/10.1515/jpm-2012-0260 Deutschlandweit zugänglich GBV_USEFLAG_U ZDB-1-DGR GBV_NL_ARTICLE AR 41 2013 5 11 04 529-534 6 |
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Clinical risk factors for complete and partial placental retention – a case-control study |
| abstract |
Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. |
| abstractGer |
Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. |
| abstract_unstemmed |
Objective: We sought to investigate the incidence, maternal risk factors, and perinatal outcomes of women with complete and partial placental retention in a tertiary care teaching hospital in Southwestern Germany. Study design: We performed an unmatched case-control study with cases occurring between July 2000 and June 2007. Women were included into the study if they completed at least the 24th week of gestation and were diagnosed with placental retention requiring surgical intervention. We selected two controls per case and performed univariate and multivariate logistic regression analyses to identify risk factors for complete and partial placental retention. Results: A total of 161 cases (2.02%) were identified out of 7978 deliveries. The 1-year prevalence of all types of placental retention continuously increased during the 6-year study period from 0.93% to 3.26%. A significant independent risk factor for all types of placental retention in the multivariate logistic regression model was a previous retention of the placenta [odds ratio (OR)=21.723, 95% confidence interval (CI) 6.07–77.7]. Independent protective factors against all types of placental retention were a non-anterior and non-posterior placenta location (OR=0.561, 95% CI 0.35–0.91), and a cesarean delivery with (OR=0.193, 95% CI 0.09–0.40) and without labor (OR=0.482, 95% CI 0.27–0.86). Women without partial placental retention delivered neonates with better 5-min APGAR scores (OR=0.78, 95% CI 0.65–0.95). Conclusion: A thorough medical history and a vigilant prepartum ultrasound help in identifying women at risk for placental retention. |
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| title_short |
Clinical risk factors for complete and partial placental retention – a case-control study |
| url |
https://doi.org/10.1515/jpm-2012-0260 |
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| author2 |
Klar, Maximilian Laub, Martina Schulte-Moenting, Juergen Proempeler, Heinrich Kunze, Mirjam |
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Klar, Maximilian Laub, Martina Schulte-Moenting, Juergen Proempeler, Heinrich Kunze, Mirjam |
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10.1515/jpm-2012-0260 |
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2024-07-06T10:02:16.440Z |
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