{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:00:48Z","timestamp":1792414848383,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,10,5]],"date-time":"2016-10-05T00:00:00Z","timestamp":1475625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To report pregnancy outcomes of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP (spontaneous haemoperitoneum in pregnancy) and the association with endometriosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case note review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Dutch referral hospitals for endometriosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>\n                      Eleven women presenting with 15 events of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In collaboration with the Dutch Working Group on Endometriosis, unpublished cases of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP that occurred in the Netherlands between 2010 and 2015 were retrieved.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Maternal and perinatal mortality and morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP occurred predominantly in the second and third trimester of pregnancy. The earliest and major presenting symptom was an acute onset of abdominal pain, often combined with low haemoglobin levels or signs of fetal distress. Imaging was a diagnostic tool when free peritoneal fluid could be observed. For surgical treatment of the bleeding site, a midline laparotomy was mostly needed, the median estimated amount of blood loss was 2000\n                      <jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>\n                      . No fetomaternal or perinatal mortality was reported, despite a high rate of preterm births (54.5%). In all women, endometriosis was diagnosed at a certain moment in time and therefore was probably involved in the pathogenesis of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP. Four women showed recurrence of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP. In one of these cases the second event of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP occurred in a subsequent pregnancy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Pregnancy outcomes of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP are improving when compared with previous reports, with absent fetomaternal and perinatal mortality in this recent series. Growing knowledge and adequate multidisciplinary intervention may have contributed to these favourable results. Increasing awareness of this serious complication of pregnancy is advocated, especially in women diagnosed with endometriosis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Tweetable abstract<\/jats:title>\n                    <jats:p>\n                      Growing awareness of\n                      <jats:styled-content style=\"fixed-case\">SH<\/jats:styled-content>\n                      iP is advocated, especially in women diagnosed with endometriosis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.14371","type":"journal-article","created":{"date-parts":[[2016,10,12]],"date-time":"2016-10-12T14:30:09Z","timestamp":1476282609000},"page":"306-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Spontaneous haemoperitoneum in pregnancy and endometriosis: a case series"],"prefix":"10.1111","volume":"124","author":[{"given":"MCI","family":"Lier","sequence":"first","affiliation":[{"name":"Department of Reproductive Medicine VU University Medical Centre Endometriosis Centre VUmc Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RF","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine VU University Medical Centre Endometriosis Centre VUmc Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JHTM","family":"van Waesberghe","sequence":"additional","affiliation":[{"name":"Department of Radiology VU University Medical Centre Endometriosis Centre VUmc Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JW","family":"Maas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; 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