{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T23:44:19Z","timestamp":1784936659609,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T00:00:00Z","timestamp":1512691200000},"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":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the efficacy and safety of the Matsubara\u2013Takahashi cervix\u2010holding technique (MT\u2010holding) for achieving hemostasis for postpartum hemorrhage (PPH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present retrospective observational study included data from deliveries that occurred between January 1, 2004, and December 31, 2014, at the Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan. Deliveries were included where patients experienced blood loss greater than 2500\u00a0mL and MT\u2010holding was used. The success rates of the technique in patients with placenta accreta spectrum (PAS) disorders and PPH were determined; subsequent pregnancy outcomes were also examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 53 deliveries included in the study; 29 patients had placenta previa and 8 of these patients also had PAS disorders. MT\u2010holding achieved hemostasis in 15 (71%) and 4 (50%) patients with placenta previa without and with PAS disorders, respectively; the placenta was removed in the latter. Overall, MT\u2010holding achieved hemostasis in 40 (75%) deliveries. Of nine patients who became pregnant after this procedure, six went on to have full\u2010term deliveries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MT\u2010holding achieved hemostasis in 50% of patients with PAS disorders and had an overall success rate of 75% for PPH, comparable to other uterus\u2010sparing procedures. MT\u2010holding is suggested as a simple, effective, safe technique available to less\u2010experienced obstetrician; these findings require confirmation in larger studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12390","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T09:12:36Z","timestamp":1510823556000},"page":"357-364","source":"Crossref","is-referenced-by-count":31,"title":["Matsubara\u2013Takahashi cervix\u2010holding technique for massive postpartum hemorrhage in patients with placenta previa with or without placenta accreta spectrum disorders"],"prefix":"10.1002","volume":"140","author":[{"given":"Hironori","family":"Takahashi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihide","family":"Ohkuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rie","family":"Usui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotada","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Matsubara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Jichi Medical University  Shimotsuke Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,8]]},"reference":[{"key":"e_1_2_7_2_1","article-title":"Placenta accreta spectrum: Pathophysiology and evidence\u2010based anatomy for prenatal ultrasound imaging","author":"Jauniaux E","year":"2017","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12222"},{"key":"e_1_2_7_4_1","article-title":"Intentional placental removal on suspicious placenta accreta spectrum: Still prohibited?","author":"Matsubara S","year":"2017","journal-title":"Arch Gynecol Obstet"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02113.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1997.tb11471.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00517.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1192119"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2011.584646"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12077"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01233.x"},{"key":"e_1_2_7_12_1","first-page":"22","article-title":"Available hemostatic measures for postpartum hemorrhage in rural settings","volume":"12","author":"Matsubara S","year":"2012","journal-title":"Rural Remote Health"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12074"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12585"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.01.012"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00103.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200610000-00046"},{"key":"e_1_2_7_18_1","unstructured":"Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Management of Postpartum Haemorrhage.2011.https:\/\/www.ranzcog.edu.au\/Statements-Guidelines. 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