Obstetrical and Neonatal Outcomes of Embryo Reduction to Twins (ERTT) Procedures in Triplet and Higher Order Pregnancies: A Cross-Sectional Study

2022 ◽  
Vol 7 (2) ◽  
pp. 99-104
Ayman Dawood ◽  
Mohamed Elnamoury ◽  
Walid Atallah ◽  
Tufan Oge ◽  
Vehbi Tokgöz ◽  
Yusuf Cakmak ◽  
Melih Velipasaoglu

Aim: The aim of the study was to compare the outcomes of emergent and planned peripartum hysterectomy. Methods: This retrospective cross-sectional study was conducted in two hospitals. Maternal and neonatal outcomes were compared according to the emergent and planned peripartum hysterectomy. Results: Totally 34020 deliveries were evaluated retrospectively and 66 peripartum hysterectomy cases were analyzed. Of these patients, 31 cases were planned surgery and 35 cases were emergent surgery. The patients who underwent planned peripartum hysterectomy had lower rate of blood transfusion (83.9% vs. 100%, p=0.014), higher postoperative hemoglobin levels (9.9±1.3 vs. 8.3±1.3, p<0.001) compared with the emergent hysterectomy group. The birth weight was lower although the apgar scores were higher in the planned surgery compared with the emergent cases. Conclusion: The planned peripartum hysterectomy with a experienced team provide less need for transfusion and improved neonatal outcomes in regard to the emergent peripartum hysterectomy.

2020 ◽  
Vol 8 (14) ◽  
pp. 850-850 ◽  
Jiaqing Zhang ◽  
Guangming Jin ◽  
Ling Jin ◽  
Xiaoting Ruan ◽  
Xiaoxun Gu ◽  

2021 ◽  
Vol 9 (2) ◽  
pp. 130-135
Maryamalsadat Kazemi Shishavan ◽  
Manizheh Sayyah-Melli ◽  
Mohammad Reza Rashidi ◽  
Parvin Mostafa Gharabaghi ◽  
Morteza Ghojazadeh ◽  

Paul Kiondo ◽  
Nazarius Mbona Tumwesigye ◽  
Julius Wandabwa ◽  
Gakenia Wamuyu-Maina ◽  
Gabriel S Bimenya ◽  

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Kiattisak Kongwattanakul ◽  
Rungroj Thamprayoch ◽  
Chumnan Kietpeerakool ◽  
Pisake Lumbiganon

Objective. To determine risks of severe adverse maternal and neonatal outcomes in women with repeated cesarean delivery (CD) and primary CD compared with those with vaginal delivery (VD). Methods. Data of this cross-sectional study were extracted from 2,262 pregnant women who gave birth between August 2014 and December 2016, at Srinagarind Hospital, Khon Kaen University. Severe maternal outcomes were categorized based on the World Health Organization criteria. Adjusted odds ratio (aOR) and 95% confidence intervals (CI) were calculated to indicate the risk of severe adverse maternal and neonatal outcomes among women underwent CD compared with those who underwent VD. Results. There were no cases of maternal death in this study. CD significantly increased risk of severe adverse maternal outcomes (SMO) (aOR 10.59; 95% CI, 1.19-94.54 for primary CD and aOR 17.21; 95% CI, 1.97-150.51 for repeated CD) compared with women who delivered vaginally. When compared with vaginal delivery, the risks of neonatal near miss (NNM) and severe adverse neonatal outcomes (SNO) were significantly higher in primary CD group (aOR 1.71; 95% CI 1.17-2.51 and aOR 1.66; 95% CI 1.14-2.43), respectively. For repeated CD, the risks were borderline significant (aOR, 1.58; 95% CI, 0.98-2.56 for NNM and aOR, 1.61; 95% CI, 0.99-2.60 for SNO). Conclusion. Primary and repeated CD significantly increased the risk of SMO compared with VD. Risks of NNM and SNO were also significantly increased in women with primary CD. The risks of NNM and SNO for repeated CD trended toward a significant increase.

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