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Full length article| Volume 73, ISSUE 4, P816-821, April 01, 1957

Fetal salvage in abruptio placentae

DOI:https://doi.org/10.1016/0002-9378(57)90392-7
Fetal salvage in abruptio placentae
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      Abstract

      • 1.
        1. Premature separation of the normally implanted placenta occurred 254 times in 26,358 deliveries, an incidence of 1:104, with one maternal death.
      • 2.
        2. The uncorrected perinatal mortality rate was 29.84 per cent and there were 2 infants with major congenital abnormalities incompatible with life.
      • 3.
        3. The degree of severity of placental separation was classified according to the criteria of Page, as modified, with 81 cases of Grade 0 severity, 96 cases of Grade 1, 57 cases of Grade 2, and 20 of Grade 3.
      • 4.
        4. There were 42 cases of toxemia of pregnancy, an incidence of 16.5 per cent, with an increased frequency of toxemia in the severe grades.
      • 5.
        5. Some type of active intervention was carried out 153 times with a fetal salvage of 83.5 per cent when fetal heart tones were present on admission to the hospital, while passive management when the fetus was alive resulted in a fetal survival of only 72.8 per cent.
      • 6.
        6. Forty-six cesarean sections were done for fetal or combined fetal and maternal indications with an 82.6 per cent fetal survival.
      • 7.
        7. There were 3 instances of uteroplacental apoplexy and one of coagulation defect.
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      References

        • Eadie F.S.
        • Randall J.H.
        Obst. & Gynec. 1954; 3: 11
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        Obst. & Gynec. 1953; 1: 418
        • Bieber G.E.
        Am. J. Obst. & Gynec. 1953; 65: 257
        • Davis M.E.
        Trans. Fifth Am. Congress on Obst. & Gynec. Am. J. Obst. & Gynec. 64A. 1952: 358 (Suppl. vol.)
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      Article Info

      Footnotes

      ☆Presented at a meeting of the Chicago Gynecological Society, Jan. 20, 1956.

      Identification

      DOI: https://doi.org/10.1016/0002-9378(57)90392-7

      Copyright

      © 1957 Published by Elsevier Inc.

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