AI Article Synopsis
- The study aimed to evaluate the risk of bleeding during surgical procedures for intrauterine fetal demise (IUFD).
- A comparison was made between hemorrhage rates from IUFD cases of 14 weeks or more and those from other surgical evacuations, analyzing data from 477 cases.
- Results showed 7.3% hemorrhage in IUFD cases compared to 4.2% in control cases, with significantly higher risk of bleeding noted in IUFD cases that were at least 21 weeks gestational age.
Article Abstract
Objective: To assess risk of hemorrhage during surgical evacuation for intrauterine fetal demise (IUFD).
Methods: We compared hemorrhage associated with surgical evacuation for IUFDs ≥14weeks to surgical evacuations for other indications.
Results: From 12/2005 to 4/2013, 477 in-hospital surgical evacuations met inclusion criteria (123 IUFD, 354 comparators). The groups were demographically similar. Hemorrhage occurred in 7.3% of IUFDs and 4.2% of controls (p=.18). Fetal demise ≥4weeks was associated with hemorrhage (odds ratio 6.8, 95% confidence interval 2.25-20.2). IUFD cases ≥21weeks' gestational age (GA) had greater risk than did similarly aged controls (31.3% vs. 1.8%; p<.001). Abnormal coagulation studies were not associated with hemorrhage.
Conclusions: Hemorrhage was more common in IUFD cases ≥4weeks' duration or ≥21weeks' GA.
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| http://dx.doi.org/10.1016/j.contraception.2016.06.008 | DOI Listing |
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