Racteristic Maternal traits Age (yr) Primiparity Preeclampsia Twin pregnancy Prior Cesarean
Racteristic Maternal XIAP Source qualities Age (yr) Primiparity Preeclampsia Twin pregnancy Preceding Cesarean delivery Neonatal qualities Gestational age (wk) 34 346 wk six day 37 Birth weight four,000 g Mode of delivery Vaginal Cesarean PPH traits Sort of PPH Principal Secondary Cause of PPH Uterine atony Abnormal placentation Low genital tract trauma Retained placental fragments Othersa) Overt DIC Hospital-to-hospital transfer Peri-interventional qualities Hemodynamic instability Initial hemoglobin 8 g/dL Additional than ten RBCU transfused Nature of embolizing agent Short-term Permanent Nature of arteries embolized Cervicovaginal branch Uterine artery Internal iliac artery and/or branches Uterine and ovarian arteries Othersb) No. of PAE 1 two PAE achievement (n=103) 32.0 five.0 51 (49.5) 6 (five.eight) 2 (1.9) 22 (21.four) PAE failure (n=14) 34.0 four.0 5 (35.7) 1 (7.1) 1 (7.1) 2 (14.three)P -value0.166 0.337 0.846 0.281 0.542 0.1 (1.0) 11 (ten.7) 91 (88.three) 7 (6.eight) 60 (58.3) 43 (41.7)0 (0.0) 1 (7.1) 13 (92.9) 1 (7.1) 9 (64.three) five (35.7)0.962 0.0.344 85 (82.five) 18 (17.five) 57 (55.three) 14 (13.six) 22 (21.4) two (1.9) eight (7.eight) 25 (24.3) 81 (78.6) 44 (42.7) 48 (46.6) 32 (31.1) 71 (68.9) 32 (31.1) 1 (1.0) 78 (75.7) 13 (12.six) 4 (three.9) 7 (6.eight) 103 (one hundred.0) 0 (0.0) 13 (92.9) 1 (7.1) 7 (50.0) three (21.4) 3 (21.four) 1 (7.1) 0 (0.0) eight (61.five) 9 (64.3) 9 (64.three) 7 (50.0) 11 (78.six) 6 (42.9) eight (57.1) 0 (0.0) eight (57.1) 2 (14.three) 4 (28.6) 0 (0.0) 4 (28.6) ten (71.four) 0.999 0.147 0.861 0.003 0.999 0.998 0.707 0.440 0.995 0.281 – 0.009 0.239 0.137 0.811 0.002 0.Binary logistic regression evaluation was performed. Information are presented as quantity ( ) or imply standard deviation. PAE, pelvic arterial embolization; PPH, postpartum hemorrhage; DIC, disseminated intravascular coagulation; RBCU, red blood cell unit. a) Others consist of pseudoaneurysm of the vaginal (1 patient) and superior vesical arteries (1 patient) as well as the injury of inferior epigastric (five sufferers) and superior vesical arteries (1 patient); b)Other people include pseudoaneurysm of the superior vesical artery (1 patient) and inferior epigastric (5 patients) and superior vesical arteries (1 patient).ogscience.orgJi Yoon Cheong, et al. Pelvic arterial embolization for postpartum hemorrhageTable 4. Multivariate analysis of failed pelvic arterial embolization soon after postpartum hemorrhage Variables Overt DIC Extra than 10 RBCU transfused Uterine and ovarian arteries OR three.364 eight.011 20.472 95 CI 0.8383.503 1.5311.912 2.71554.P -value0.081 0.014 0.Binary logistic regression evaluation was performed. OR, odds ratio; CI, self-confidence interval; DIC, disseminated intravascular coagulation; RBCU, red blood cell unit. Table 5. Peri-interventional complications Complications PPH-related complications Acute renal failure Hepatic failure Pulmonary edema Postpartum RORĪ³ Formulation cardiomyopathy PAE-related complications Uterine necrosis requiring hysterectomy Buttock necrosis requiring surgical debridement Fever larger than 38.5 without the need of a concentrate of infection Puncture web site hematoma Values are presented as quantity ( ). PPH, postpartum hemorrhage; PAE, pelvic arterial embolization. 19 (14.5) 12 (10.3) 5 (four.3) 1 (0.9) three (two.6) three (2.6) 7 (six.0) 3 (two.6) 0 (0.0) 2 (1.7) two (1.7)ratio, 20.472; 95 self-confidence interval, 2.71554.365; P = 0.003) (Table four). Irrespective of clinical results in hemostasis by PAE, some sufferers suffered from procedure-related complications. The peri-interventional complications of PAE that we skilled are listed in Table 5. Within the case of uterine necrosis, hysterectomy was ine.
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