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Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies : a retrospective analysis

https://tokushima-u.repo.nii.ac.jp/records/2012170
https://tokushima-u.repo.nii.ac.jp/records/2012170
02e90a53-5c92-44cb-8fc6-67509fec458c
名前 / ファイル ライセンス アクション
ja.pdf ja.pdf (838 KB)
 Download is available from 2025/7/4.
Item type 文献 / Documents(1)
公開日 2024-07-25
アクセス権
アクセス権 embargoed access
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版社版DOI
関連識別子 https://doi.org/10.1007/s00540-024-03370-0
関連名称 10.1007/s00540-024-03370-0
出版タイプ
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
タイトル
タイトル Quantitative and calculated estimated blood loss in cesarean deliveries for twin and singleton pregnancies : a retrospective analysis
著者 タカハシ, リカコ

× タカハシ, リカコ

ja タカハシ, リカコ

ja-Kana タカハシ, リカコ

en Takahashi, Rikako

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酒井, 陽子

× 酒井, 陽子

WEKO 656
徳島大学 教育研究者総覧 264524/profile-ja.html
e-Rad 90711862

ja 酒井, 陽子
ISNI

ja-Kana サカイ, ヨウコ

en Sakai, Yoko

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木下, 倫子

× 木下, 倫子

WEKO 453
徳島大学 教育研究者総覧 208068/profile-ja.html

ja 木下, 倫子
ISNI

ja-Kana キノシタ, ミチコ

en Kinoshita, Michiko

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マツモト, ヤコ

× マツモト, ヤコ

ja マツモト, ヤコ

ja-Kana マツモト, ヤコ

en Matsumoto, Yako

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ナカジ, ヨシミ

× ナカジ, ヨシミ

ja ナカジ, ヨシミ

ja-Kana ナカジ, ヨシミ

en Nakaji, Yoshimi

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田中, 克哉

× 田中, 克哉

WEKO 1645
徳島大学 教育研究者総覧 60304/profile-ja.html
e-Rad 30263841

ja 田中, 克哉
ISNI

ja-Kana タナカ, カツヤ

en Tanaka, Katsuya

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抄録
内容記述 Purpose: This study retrospectively assessed blood loss during cesarean deliveries for twin and singleton pregnancies using two distinct methods, quantitative estimation measured during cesarean sections and hematocrit-based calculated estimation.
Methods: We included scheduled cesarean deliveries for twin or singleton pregnancies at ≥ 34 weeks of gestation. Quantitative blood loss was recorded based on the blood volume in the graduated collector bottle and by weighing the blood-soaked textiles during cesarean sections. The blood loss was calculated using the change in hematocrit levels before and after the cesarean delivery.
Results: We evaluated 403 cases including 44 twins and 359 singletons. Quantitative blood loss during cesarean section was significantly higher in twins pregnancies than that in singleton pregnancies (1117 [440] vs 698 [378] mL; p<0.001). However, no significant differences were observed in the calculated blood loss between the two groups on the day after delivery (487 mL [692 mL] vs 507 mL [522 mL]; p=0.861). On post-delivery days 4–5, twin pregnancies were associated with a significantly higher calculated blood loss than singleton pregnancies (725 [868] mL vs 444 [565] mL, p=0.041). Although a significant moderate correlation between quantitative and calculated blood loss was observed in singleton pregnancies (r=0.473, p<0.001), no significant correlation was observed between twin pregnancies (r=0.053, p=0.735).
Conclusion: Quantitative blood loss measurements during cesarean section may be clinically insufficient in twin pregnancies. Incorporating blood tests and continuous assessments are warranted for enhanced blood loss evaluation, especially in twin pregnancies, owing to the risk of persistent bleeding.
キーワード
主題 Calculated blood loss
キーワード
主題 Cesarean sections
キーワード
主題 Postpartum hemorrhage
キーワード
主題 Quantitative blood loss
キーワード
主題 Twin pregnancy
書誌情報 en : Journal of Anesthesia

発行日 2024-07-04
収録物ID
収録物識別子タイプ ISSN
収録物識別子 14388359
収録物ID
収録物識別子タイプ ISSN
収録物識別子 09138668
収録物ID
収録物識別子タイプ NCID
収録物識別子 AA10852931
出版者
出版者 Japanese Society of Anesthesiologists
出版者
出版者 Springer Nature
備考
値 This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Natureʼs AM terms of use (https://www.springernature.com/gp/open-research/policies/accepted-manuscript-terms), but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s00540-024-03370-0
EID
識別子 409156
言語
言語 eng
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