Retained products of conception (RPOC) following delivery without placenta previa: Which patients with RPOC show postpartum hemorrhage?

Retained products of conception (RPOC) following delivery without placenta previa: Which patients with RPOC show postpartum hemorrhage?

To clarify the perinatal outcome of retained products of conception (RPOC) after 22 weeks or more. The retrospective cohort study reviewed medical records of patients with RPOC without placenta previa at 186 Japanese perinatal centers. Of the 323 patients with RPOC, pregnancies after assisted reprod...

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Veröffentlicht in:Placenta (Eastbourne) 2022-06, Vol.124, p.12-17
Hauptverfasser: Takahashi, Hironori, Tanaka, Hiroaki, Osuga, Yutaka, Miura, Kiyonori, Saito, Shigeru, Sato, Shoji, Sugawara, Junichi, Ide, Sanae, Koh, Iiji, Yamauchi, Keiko, Okuyama, Ayumi, Okuno, Kentaro, Kuwata, Tomoyuki, Fujieda, Satoko, Ikeda, Tomoaki
Format: Artikel
Sprache:eng
Schlagworte:
Assisted reproductive technology
Cesarean section
Placenta accreta spectrum
Retained products of conception
Transarterial embolization
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Zusammenfassung:To clarify the perinatal outcome of retained products of conception (RPOC) after 22 weeks or more. The retrospective cohort study reviewed medical records of patients with RPOC without placenta previa at 186 Japanese perinatal centers. Of the 323 patients with RPOC, pregnancies after assisted reproductive technology (ART) accounted for 43%. Transfusion at delivery was required in 33% of the patients. Logistic regression analyses revealed that transfusion was significantly required in the following situations: ART pregnancy (aOR: 6.0, 95%CI: 2.3–16, P 
ISSN:0143-4004
1532-3102
DOI:10.1016/j.placenta.2022.05.004