Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

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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
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Führende Autor*innen der Med Uni Graz
Gold ehem Ulrich Daniela
Co-Autor*innen der Med Uni Graz
Petru Edgar
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.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Developed Countries -
Female -
Fetal Death - etiology
Follow-Up Studies -
Humans -
Infant, Newborn -
Placenta -
Pregnancy -
Pregnancy Outcome -
Pregnancy, Abdominal - surgery
Pregnancy, Abdominal -
Young Adult -

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