{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T04:58:20Z","timestamp":1786769900517,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T00:00:00Z","timestamp":1500508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To develop a risk\u2010factor scoring system for the prediction of bleeding during ultrasound\u2010guided dilation and curettage (D&amp;C) for cesarean scar pregnancy (<jats:styled-content style=\"fixed-case\">CSP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The retrospective study included patients with a <jats:styled-content style=\"fixed-case\">CSP<\/jats:styled-content> of 31\u201367\u00a0days who underwent transabdominal ultrasonography\u2010guided D&amp;C in 2010\u20132014. Binary logistic regression analysis was used to identify risk factors for the need of Foley catheter hemostasis. The predictive accuracy of a risk\u2010scoring system based on significant factors was evaluated by receiver operating curve analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 82 included patients, 66 (80%) were successfully treated without any complications, whereas 16 (20%) required Foley catheter compression hemostasis. Four patients who received the Foley catheter needed further treatment. A longer pregnancy duration (odds ratio 1.171, 95% confidence interval 1.050\u20131.305; <jats:italic>P=<\/jats:italic>0.004) and a rich blood supply on ultrasonography (odds ratio 3.282, 95% confidence interval 1.441\u20134.742; <jats:italic>P=<\/jats:italic>0.005) were significant risk factors for the need of compression hemostasis. A scoring system based on these two risk factors would have identified 93.8% of patients requiring compression hemostasis if the optimum cutoff score was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Heavy bleeding during transabdominal ultrasound\u2010guided D&amp;C for <jats:styled-content style=\"fixed-case\">CSP<\/jats:styled-content> is\u00a0associated with a longer pregnancy duration and a rich blood supply on ultrasonography. The new risk\u2010scoring system can be used to predict bleeding during surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12240","type":"journal-article","created":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T06:32:38Z","timestamp":1497940358000},"page":"78-83","source":"Crossref","is-referenced-by-count":20,"title":["Quantitative risk assessment to guide the treatment of cesarean scar pregnancy"],"prefix":"10.1002","volume":"139","author":[{"given":"Qingxian","family":"Fang","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Sun","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunhui","family":"Tang","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuifeng","family":"Qian","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoying","family":"Yao","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"},{"name":"Department of Obstetrics and Gynecology of Shanghai Medical College Fudan University  Shanghai China"},{"name":"Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases  Shanghai China"},{"name":"Key Laboratory of Reproduction Regulation of National Population and Family Planning Commission The Shanghai Institute of Planned Parenthood Research Institute of Reproduction and Development  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,20]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"142","article-title":"Pregnancy in a uterine scar sacculus\u2013an unusual cause of postabortal haemorrhage. A case report","volume":"53","author":"Larsen JV","year":"1978","journal-title":"S Afr Med J"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000023"},{"key":"e_1_2_7_4_1","first-page":"209","article-title":"Management options of caesarean scar pregnancy","volume":"36","author":"Li JJ","year":"2014","journal-title":"Zhongguo Yi Xue Ke Xue Yuan Xue Bao"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.03.007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.974"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000218690.24494.ce"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2012.01892.x"},{"key":"e_1_2_7_9_1","first-page":"3186","article-title":"Cesarean scar pregnancy: An analysis of 100 cases","volume":"91","author":"Yu XL","year":"2011","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.10.017"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.06.029"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2000.00300-2.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3143-6"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2004.12.038"},{"key":"e_1_2_7_15_1","first-page":"365","article-title":"Diagnosis and management of cesarean scar pregnancy","volume":"39","author":"Polat I","year":"2012","journal-title":"Clin Exp Obstet Gynecol"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14708"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4058"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2015.1034100"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12240","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T22:03:10Z","timestamp":1696370590000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,20]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1002\/ijgo.12240"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12240","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,20]]}}}