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Oneko, O; Petru, E; Masenga, G; Ulrich, D; Obure, J; Zeck, W.
Management of the placenta in advanced abdominal pregnancies at an East african tertiary referral center.
J Womens Health (Larchmt). 2010; 19(7):1369-1375
Doi: 10.1089/jwh.2009.1704
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Gold ehem Ulrich Daniela
- Co-Autor*innen der Med Uni Graz
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Petru Edgar
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Zeck Willibald
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- Abstract:
- Objective: To review the diagnosis and treatment of 9 advanced abdominal pregnancies in a low-resource setting of a developing country, focusing on the management of the placenta. Methods: Abdominal pregnancies occurring between 1999 and 2007 were identified from hospital records in Tanzania. All patients were followed up for a median of 6 months after surgery (range 5-9 months). Results: At the time of diagnosis, pregnancies were between 20 and 42 weeks of gestation (median 27 weeks). All 9 mothers survived the abdominal pregnancy, and 7 fetuses died before delivery. The placenta was left completely in situ in 5 of the nine cases. Conclusions: Abdominal pregnancy is often detected rather late in low-resource settings compared with higher-resource settings. We suggest that in the described low-resource setting where red blood cell transfusions are not always readily available, the placenta may be left in situ after removal of the fetus.
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