{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:14:59Z","timestamp":1780568099796,"version":"3.54.1"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to elucidate the feasibility and safety of vaginal delivery (VD) when placental abruption causes fetal demise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective study of women who were managed for placental abruption with intrauterine fetal death at Kyoto University Hospital during the period from 1995 to 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen cases were identified during the study period. VD was attempted in 15 cases and was accomplished in 14 (93.3%) cases. The median gestational age was 36 (24\u201339) weeks, and there were eight primiparas. The median Bishop score on admission was 2.5 (1\u20139). Eight pregnancies were complicated with pregnancy\u2010induced hypertension. The median duration of labor was 5 h and 18 min (30 min\u201312 h 43 min), and the median amount of hemorrhage was 2503 (445\u20136808) mL. Fresh frozen plasma (\u2265 20 U) and red cell concentrate (\u2265 10 U) were administered in 10 (71%) and 9 (64%) cases, respectively. Two cases required uterine artery embolization for post\u2010partum hemorrhage, while there was no case of maternal death or hysterectomy. Patients with Bishop score &gt; 3 (<jats:italic>n<\/jats:italic> = 6) experienced shorter\u2010duration deliveries (<jats:italic>P<\/jats:italic> = 0.020) and had significantly larger blood loss volume (<jats:italic>P<\/jats:italic> = 0.020) compared to patients with Bishop score\u00a0\u2264\u00a03. The duration of labor was negatively correlated with the amount of blood loss (<jats:italic>R<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup> = \u22120.56, <jats:italic>P<\/jats:italic> = 0.039).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>After placental abruption with intrauterine fetal death, VD is feasible and safe regardless of gestational age, parity, cervical maturity, and duration of labor when intensive medical resources are available.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13285","type":"journal-article","created":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T09:08:59Z","timestamp":1490692139000},"page":"676-681","source":"Crossref","is-referenced-by-count":11,"title":["Vaginal delivery after placental abruption with intrauterine fetal death: A 20\u2010year single\u2010center experience"],"prefix":"10.1111","volume":"43","author":[{"given":"Ayami","family":"Inoue","sequence":"first","affiliation":[{"name":"Department of Gynaecology and Obstetrics Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Kondoh","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koh","family":"Suginami","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Io","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitsugu","family":"Chigusa","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ikuo","family":"Konishi","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.05.087"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.17.1646"},{"key":"e_1_2_6_4_1","first-page":"793","volume-title":"Williams Obstetrics","author":"Cunningham FG","year":"2014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000239439.04364.9a"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2009.02.005"},{"key":"e_1_2_6_7_1","first-page":"22","article-title":"Maternal indices of placental abruption with intrauterine fetal death: Comparison between cesarean section and vaginal delivery","volume":"48","author":"Kawana Y","year":"2012","journal-title":"J Jpn Soc Perinat Neonat Med"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12419"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003247"},{"key":"e_1_2_6_10_1","first-page":"S\u201051","article-title":"Vaginal delivery and cesarean section: Comparison of maternal outcome in placental abruption with fetal death","volume":"18","author":"Tanigawa T","year":"2008","journal-title":"Jpn J Obstet Gynecol Neonat Hematol"},{"key":"e_1_2_6_11_1","first-page":"813","article-title":"Management of placental abruption with intrauterine fetal death: Benefit of vaginal delivery","volume":"46","author":"Kikuchi N","year":"2010","journal-title":"J Jpn Soc Perinat Neonat Med"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.03.019"},{"key":"e_1_2_6_13_1","first-page":"113","article-title":"Trasylol in the management of abruptio placentae with consumption coagulopathy and uterine inertia","volume":"25","author":"Sher G","year":"1980","journal-title":"J Reprod Med"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12123"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.13285","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13285","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,16]],"date-time":"2023-09-16T19:50:09Z","timestamp":1694893809000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.13285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,28]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1111\/jog.13285"],"URL":"https:\/\/doi.org\/10.1111\/jog.13285","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,28]]}}}