The effect of placental removal method at cesarean delivery on perioperative hemorrhage: a randomized clinical trial ISRCTN 49779257

Hidar, Samir; Jennane, Taha M.; Bouguizane, Sassi; Lassoued, Latifa; Bibi, M.; Khaïri, H.

doi:10.1016/j.ejogrb.2004.03.014

Cited by 42 publications

(26 citation statements)

References 15 publications

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“…Le choix de la mesure de l'hémoglobine comme critère de jugement principal est critiquable dans cette étude en raison de la variabilité de ce paramètre et surtout sa mesure précoce à 24 heures après l'intervention. L'hématocrite paraît le paramètre le plus adapté à ce type d'étude [15].…”

Section: Discussionunclassified

Intérêt du misoprostol dans la prévention de l’hémorragie du post-partum immédiat en cas de césarienne : essai prospectif randomisé

Fékih

Jnifene

Fathallah

et al. 2009

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Section: Discussionunclassified

Intérêt du misoprostol dans la prévention de l’hémorragie du post-partum immédiat en cas de césarienne : essai prospectif randomisé

Fékih

Jnifene

Fathallah

et al. 2009

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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“…The relationship between spontaneous placental separation following cesarean section and the decreased frequency of endometritis following cesarean sections has been observed [25] . In our recent study, the relationship between cervical ripening and the free-globin (alpha and beta) secretion amount by decidual cells has been found.…”

Section: Discussionmentioning

confidence: 99%

The Obstetrical History in Patients with Pfannenstiel Scar Endometriomas – An Analysis of 81 Patients

Wicherek¹,

Klimek²,

Skręt-Magierło³

et al. 2006

Gynecol Obstet Invest

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Introduction: The participation of immune tolerance during pregnancy was suggested to be an important factor predisposing to the implantation of decidual cells after cesarean section in Pfannenstiel scar. Delivery at term is related to the termination of immune tolerance to fetal antigens that is maintained throughout pregnancy. Substantial proportion of cesarean section deliveries is performed before the onset of true term labor. The aim of this study was to analyze the clinical symptoms of spontaneous beginning of labor in pregnant women in whom cesarean sections were performed and in whom Pfannenstiel scar endometriomas were observed during follow-up. Materials and Methods: We have retrospectively analyzed 81 patients following the surgical removal of scar endometrioma after cesarean section. Obstetrical histories of cesarean sections in the number of 5,370 preceding the occurrence of the scar endometrioma were analyzed. These data were collected in six different Gynecological and Obstetrical wards in Malopolska Province in Poland. Analysis of data was started by the retrospective evaluation of regular uterine contractions, uterine cervix ripening before cesarean section and the indications for surgery. Results: In 67 women from the group of 81 patients cesarean sections were performed with unripe uterine cervix and without the presence of regular uterine contractions. Elective indications for cesarean sections were predominant in this group of women. The relative risk of scar endometriomas occurrence following cesarean sections performed before onset of labor in comparison to cesarean sections following spontaneous onset of labor was statistically significantly higher [RR = 2.16, 95% CI = 1.21–3.83; OR = 2.18, 95% CI = 1.22–3.89]. Conclusions: Cesarean section performed before spontaneous onset of labor may increase substantially the risk of occurrence of scar endometriomas.

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“…In Europe, manual removal of placentas are advised at anything between 20 minutes and over 1 hour into the third stage. 4 The choice of timing is a balance between the post-partum haemorrhage risk of leaving the placenta in situ , the likelihood of spontaneous delivery and the knowledge from caesarean section studies that the manual removal itself causes haemorrhage 5 . In a study of over 12,000 births, Combs and Laros found that the risk of haemorrhage increased after 30 minutes 6 .…”

Section: Introductionmentioning

confidence: 99%

An appraisal of retained placentae in Ibadan: a five year review

Obajimi¹,

Roberts²,

Aimakhu³

et al. 2011

Ann. Ibadan Postgrad. Med.

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Objectives:To determine the frequency of retained placenta at the University College Hospital Ibadan (UCH). and to describe the socio-demographic characteristics of the patients and examine the risk factors predisposing to retained placenta.Methods:This is a descriptive study covering a period of 5 years from January 1st 2002 to December 31st 2006. During the study period, 4980 deliveries took place at the University College Hospital, Ibadan and 106 cases of retained placenta were managed making the incidence 2.13 per cent of all births.Results:During the five year period, there were 106 patients with retained placenta; of these, 90 (84.9%) case notes were available for analysis. The mean age was 29.37 ± 4.99 years. First and second Para accounted for 52 per cent of the patients. Majority of the patient were unbooked for antenatal care in UCH with booked patients accounting for 27.8 per cent of the cases. The mean gestational age at delivery was 34.29 ± 6.02. Three patients presented to the hospital in shock of which 2 died on account of severe haemorrhagic shock. Fifty-eight patients (64.8%) presented with anaemia (packed cell volume less than 30 per cent) and 35 patients (38.8%) had blood transfusion ranging between 1-4 pints. 1 patient required hysterectomy on account of morbidly adherent placenta. Eleven patients (12.2%) had placenta retention in the past, 28 patients (31%) had a previous dilatation and curettage, 14 patients (15.5%) had previous caesarean sections and 47 patients (41.3%) had no known predisposing factorsConclusion:Retained placenta still remains a potentially life threatening condition in the tropics due to the associated haemorrhage, and other complications related to its removal. The incidence and severity may be decreased by health education, women empowerment and the provision of facilities for essential obstetric services by high skilled health care providers in ensuring a properly conducted delivery with active management of the third stage of labour.

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The effect of placental removal method at cesarean delivery on perioperative hemorrhage: a randomized clinical trial ISRCTN 49779257

Cited by 42 publications

References 15 publications

Intérêt du misoprostol dans la prévention de l’hémorragie du post-partum immédiat en cas de césarienne : essai prospectif randomisé

Intérêt du misoprostol dans la prévention de l’hémorragie du post-partum immédiat en cas de césarienne : essai prospectif randomisé

The Obstetrical History in Patients with Pfannenstiel Scar Endometriomas – An Analysis of 81 Patients

An appraisal of retained placentae in Ibadan: a five year review

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