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Conservative Management of Retained Placenta Accreta Postpartum

Joo EH, Ko JE, Lee Hl, Kim HC, Kim YR

Retained placenta accreta is difficult to diagnose in the series of processes involved in parturition. It is usually discovered after delivery, when massive and uncontrollable postpartum hemorrhage occurs. A histological...
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Inferior Mesenteric Artery Embolization with N-Butyl Cyanoacrylate for Life-Threatening Postpartum Hemorrhage: A Report of Two Cases and Literature Review

Yoo HW, Choi MJ, Kim BM

The inferior mesenteric artery is a rare source of postpartum hemorrhage. We report two cases of primary postpartum hemorrhage that originated from the inferior mesenteric artery after vaginal delivery. Both...
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A Rare Case of Fibromuscular Dysplasia with Postpartum Renal Artery Rupture in a Non-Hypertensive Woman

Kim EE, Won Y, Kim YH, Shin I, Kim YO

Fibromuscular dysplasia (FMD) of the renal artery is a non-atherosclerotic, non-inflammatory vascular disease that causes stenosis, aneurysm, dissection, and occlusion of the vessel. We report a rare case of a...
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Perspective of the comparative effectiveness of non-pharmacologic managements on postpartum hemorrhage using a network meta-analysis

Lee KJ, Hong K, Hwang H, Choi H, Sohn S

Objective Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide and is both unpredictable and inevitable. While uterotonic drugs are routinely recommended, there is ongoing debate on the...
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Successful management of uncontrolled postpartum hemorrhage due to morbidly adherent placenta with Resuscitative endovascular balloon occlusion of the aorta during emergency cesarean section - A case report -

Ji SM, Cho C, Choi G, Song J, Kwon MA, Park JH, Kim S

Background: Morbidly adherent placenta (MAP) may cause life-threatening postpartum hemorrhage (PPH) requiring massive transfusions. Furthermore, it could endanger the lives of both mother and baby. Despite various efforts, such as...
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Use of the Molecular Adsorbent Recirculating System in Acute Fatty Liver of Pregnancy: a Case Report

Lee HS, Lee JH, Jeong YJ

Acute fatty liver of pregnancy (AFLP) can cause liver failure in the third trimester and lead to fatal complications of mother and fetus. Prompt delivery has been known as the...
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Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage

Nam SH, Lee MY, Yang NR, Won HS, Park KJ

Uterine necrosis is a rare and fatal complication of uterine artery embolization (UAE). We report a case of uterine necrosis after UAE for postpartum hemorrhage (PPH). Two days after UAE,...
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Simulation-based education program on postpartum hemorrhage for nursing students

Kim M, Ha J

Purpose: This study was conducted to develop a simulation-based postpartum care education program for women with postpartum hemorrhage and to verify the effects of the program on postpartum care. Methods:...
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Prediction Model for Massive Transfusion in Placenta Previa during Cesarean Section

Kang J, Kim HS, Lee EB, Uh Y, Han KH, Park EY, Lee HA, Kang DR, Chung IB, Choi SJ

PURPOSE: Recently, obstetric massive transfusion protocols have shifted toward early intervention. This study aimed to develop a prediction model for transfusion of ≥5 units of packed red blood cells (PRBCs)...
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Management of massive hemorrhage in pregnant women with placenta previa

Park HS, Cho HS

Patients with placenta previa are at risk for intra- and postpartum massive blood loss as well as increased risk of placenta accreta, a type of abnormal placental implantation. This condition...
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Intraoperative Use of Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhage Control in Woman with Placenta Percreta Involving the Bladder

Chang SW, Chang YR, Seon YJ, Park JW, Kim JS

A 42-year-old woman with irregular uterine contractions and a history of two prior cesarean sections was admitted. At 35 weeks of gestation, preterm labor with vaginal bleeding led to a...
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Overview of Postpartum Hemorrhage Project

Ahn S

No abstract available.
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The usefulness of lactate as an early predictor of the severity of emergency department patients with postpartum hemorrhage

Cho YJ, You JS, Chung SP, Choa M, Kong T, Ko DR, Hwang YJ, Lee YH, Park I, Kim S

OBJECTIVE: Only a few studies have examined the role of lactate reflecting on tissue hypoperfusion determining the severity of postpartum hemorrhage (PPH) patients in the emergency department (ED). This study...
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Efficacy of Multidisciplinary Clinical Pathway for the Management of Postpartum Hemorrhage

Kim AM, Kim SJ, Kim YH, Kim JW, Chung HA, Han KH, Choi HB

OBJECTIVE: To evaluate the efficacy of the clinical pathway known as the best linkage for expeditious expert decision (BLEED) system that we newly developed for the effective management of postpartum...
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Coagulation abnormalities and bleeding in pregnancy: an anesthesiologist's perspective

Yoon HJ

During pregnancy, the procoagulant activity increases (manifested by elevation in factor VII, factor VIII, factor X, and fibrinogen levels), while the anticoagulant activity decreases (characterized by reduction in fibrinolysis and...
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Uterine Artery Embolization in Patients with Postpartum Hemorrhage: Clinical Efficacy and Safety of Treatment with N-Butyl-2-Cyanoacrylate

Kwon Y, So YH, Kim BJ, Kim SM, Choi YH, Moon MH

PURPOSE: To evaluate the clinical efficacy and safety of uterine artery embolization (UAE) using N-butyl-2-cyanoacrylate (NBCA) in patients with postpartum hemorrhage (PPH). MATERIALS AND METHODS: From February 2010 to May 2018,...
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Recent Update of Embolization of Postpartum Hemorrhage

Chen C, Lee SM, Kim JW, Shin JH

Postpartum hemorrhage (PPH) is a life-threatening condition and remains a leading cause of maternal mortality. Transcatheter arterial embolization (TAE) is an effective therapeutic strategy for PPH with the advantages of...
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Spinal Cord Infarction Following Total Hysterectomy Due to Severe Postpartum Hemorrhage

Kim SR, Park JW, Kim JS

Spinal cord infarction (SCI) is a rare but often disastrous disorder caused by various pathologic status. The research reports a 34-year-old woman developed SCI after spinal anesthesia for relieving labor...
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Indications and characteristics of obstetric patients admitted to the intensive care unit: a 22-year review in a tertiary care center

Yi HY, Jeong SY, Kim SH, Kim Y, Choi SJ, Oh SY, Roh CR, Kim JH

OBJECTIVE: Reviewing indications and characteristics of obstetric patients admitted to the intensive care unit (ICU) of a tertiary care center, comparing those patients by time period and place of delivery,...
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Clinical and Angiographic Features of Secondary Postpartum Hemorrhage and the Outcomes of Transcatheter Arterial Embolization

Baek SD, Kang UR, Ji SW, Kim YH, Cha JG

PURPOSE: To analyze the clinical and angiographic features with outcome of transcatheter arterial embolization in patients with secondary postpartum hemorrhage. MATERIALS AND METHODS: Clinical details and angiographic features with assessment of...
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