アブストラクト
Japanese
| Title | 慢性胎盤早期剥離12例の妊娠予後および児予後の後方視的検討 |
|---|---|
| Subtitle | 原著 |
| Authors | 清水香陽子1), 今福仁美1), 内田明子1), 出口雅士1), 寺井義人1), 谷村憲司1) |
| Authors (kana) | |
| Organization | 1)神戸大学大学院医学研究科外科系講座産科婦人科学分野 |
| Journal | 日本周産期・新生児医学会雑誌 |
| Volume | 60 |
| Number | 3 |
| Page | 384-389 |
| Year/Month | 2024 / 12 |
| Article | 原著 |
| Publisher | 日本周産期・新生児医学会 |
| Abstract | 「概要」 目的: 慢性胎盤早期剥離(慢性早剥)は, 妊娠中に7日間以上, 性器出血が持続する状態であり, 特に羊水過少を伴う慢性早剥羊水過少症候群(CAOS)は周産期予後不良とされる. これまでCAOSと羊水過少を伴わない慢性早剥の周産期予後を比較した報告は少なく, これらの周産期予後を比較検討した. 方法: 2016年1月から2022年12月に当院で周産期管理を行い, 慢性早剥と診断した症例をCAOS群と非CAOS群に分類し, 臨床背景および新生児予後について比較検討した. 結果: CAOS群は5例, 非CAOS群は7例で, 全例早産であった. 初発出血妊娠週数, 分娩週数, 妊娠中の絨毛膜下血腫ならびに前期破水の発生率, 胎盤所見の陽性率, 慢性肺疾患の発症率, 在宅酸素導入率のいずれにおいても, CAOS群と非CAOS群との間で有意差は認めなかった. 結論: 慢性早剥では, 羊水過少を伴わなくとも周産期予後が不良である. |
| Practice | 臨床医学：外科系 |
| Keywords | chronic placental abruption, chronic abruption-oligohydramnios sequence, perinatal outcomes, subchorionic hematoma, vaginal bleeding |
English
| Title | A retrospective study of pregnancy and neonatal outcomes in 12 cases of chronic placental abruption |
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| Subtitle | |
| Authors | Kayoko Shimizu1), Hitomi Imafuku1), Akiko Uchida1), Masashi Deguchi1), Yoshihito Terai1), Kenji Tanimura1) |
| Authors (kana) | |
| Organization | 1)Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine |
| Journal | Journal of Japan Society of Perinatal and Neonatal Medicine |
| Volume | 60 |
| Number | 3 |
| Page | 384-389 |
| Year/Month | 2024 / 12 |
| Article | Original article |
| Publisher | Japan Society of Perinatal and Neonatal Medicine |
| Abstract | Objective: Chronic placental abruption is diagnosed when pregnant women had genital bleeding continuing for 7 days or more. Chronic abruption-oligohydramnios sequence (CAOS) is associated with poor pregnancy and neonatal outcomes. There are few studies comparing pregnancy and neonatal outcomes of pregnancies complicated by CAOS (the CAOS group) with those by chronic placental abruption without oligohydramnios (the non-CAOS group). We aimed to assess differences in pregnancy and neonatal outcomes between the CAOS and non-CAOS groups. Patients and Methods: Pregnant women with chronic placental abruption who were managed in Kobe University Hospital from January 2016 to December 2022 were enrolled. They were classified into the CAOS and non-CAOS groups. Clinical data were collected from medical records. We compared the clinical characteristics and perinatal outcomes between the two groups. Results: Seven pregnant women with CAOS and five with chronic placental abruption but without CAOS were enrolled in this retrospective cohort study. All participants had preterm births. There were no significant differences in gestational weeks (GWs) at the first genital bleeding episode, GWs at delivery, the duration between the first genital bleeding and delivery, the prevalence of subchorionic hematoma, premature rupture of membrane, chorioamnionitis, diffuse chorioamnionitis with hemosiderosis, and chronic lung disease, the duration of artificial ventilation, the need for home oxygen therapies between the CAOS and non-CAOS groups. Conclusion: Despite the presence of oligohydramnios, pregnant women with chronic placental abruption had risks of poor pregnancy and neonatal outcomes. |
| Practice | Clinical surgery |
| Keywords | chronic placental abruption, chronic abruption-oligohydramnios sequence, perinatal outcomes, subchorionic hematoma, vaginal bleeding |
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