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KMID : 1143220190620050299
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Obstetrics & Gynecology Science
2019 Volume.62 No. 5 p.299 ~ p.306
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Management of disseminated intravascular coagulation associated with placental abruption and measures to improve outcomes
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Takeda Jun
Takeda Satoru
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Abstract
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Placental abruption is a condition that should be carefully considered in perinatal management because it is associated with serious events in both the mother and neonate, such as intrauterine fetal death, cerebral palsy, obstetric critical bleeding, and uncontrollable bleeding. The concomitant presence of disseminated intravascular coagulation (DIC) more easily causes critical bleeding that may necessitate hysterectomy or multi-organ failure resulting in maternal death. Therefore, early management should be provided to prevent progression to serious conditions by performing both hemostatic procedures and DIC treatment. To take measures to improve the outcomes in both the mother and neonate, health guidance for pregnant women, early diagnosis, early treatment, development of the emergency care system, and provision of a system for transport to higher-level medical institutions should be implemented.
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KEYWORD
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Cerebral palsy, Disseminated intravascular coagulation, Fibrinogen, Obstetric surgical procedures, Placental abruption
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