Effect of mild preoperative thrombocytopenia on postpartum hemorrhage after cesarean deliveries. (Record no. 6327)

MARC details
000 -LEADER
fixed length control field 04379nam a22006137a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210607s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2589-9333
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.ajogmf.2021.100368 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S2589-9333(21)00063-X [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33831587
245 ## - TITLE STATEMENT
Title Effect of mild preoperative thrombocytopenia on postpartum hemorrhage after cesarean deliveries.
247 ## - FORMER TITLE
Title Condensation: Mild gestational thrombocytopenia does not confer increased risk for postpartum hemorrhage or red blood transfusion for women undergoing cesarean delivery.
251 ## - Source
Source American Journal of Obstetrics & Gynecology MFM. 3(4):100368, 2021 07.
252 ## - Abbreviated Source
Abbreviated source Am J Obstet Gynecol MFM. 3(4):100368, 2021 07.
252 ## - Abbreviated Source
Former abbreviated source Am J Obstet Gynecol MFM. :100368, 2021 Apr 05
253 ## - Journal Name
Journal name American journal of obstetrics & gynecology MFM
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2021-06-07
268 ## - Previous citation
-- American Journal of Obstetrics & Gynecology MFM. :100368, 2021 Apr 05
269 ## - Original dates
Original fiscal year FY2021
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Thrombocytopenia at time of delivery is considered to be a risk factor for postpartum hemorrhage. However, platelet count thresholds for postpartum hemorrhage are variable and not extensively studied.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Preoperative mild thrombocytopenia was not associated with postpartum hemorrhage, red blood cell transfusion, wound complications, or postpartum Emergency Department visits in women undergoing cesarean delivery. Copyright (c) 2021. Published by Elsevier Inc.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: To examine if mild thrombocytopenia is associated with an increased risk of postpartum hemorrhage among women undergoing cesarean delivery.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Of 3,133 women, 2,799 (89.3%) had normal platelet levels, 298 (9.5%) had mild thrombocytopenia, and 36 (1.2%) had moderate to severe thrombocytopenia. There were no differences in the risks of postpartum hemorrhage, need for a red blood cell transfusion, wound complications or postpartum Emergency Department visit comparing women with normal platelet counts to those with mild thrombocytopenia (24.6% vs. 25.8% [aOR 1.16; 95%CI 0.88-1.54]; 6.5% vs 6.7% [aOR 1.34; 95%CI 0.80-2.24]; 4.5% vs. 5.4% [aOR 1.53; 95%CI 0.88-2.64]; 9.0% vs. 10.7% [aOR 1.37; 95%CI 0.92-2.03, respectively).
520 ## - SUMMARY, ETC.
Abstract STUDY DESIGN: This was a retrospective cohort study of all women who underwent a cesarean delivery at a tertiary care hospital Labor and Delivery unit from September 2015 to June 2018. Women with normal platelet counts (>=150,000/microL) were compared to women with mild thrombocytopenia (100-149,000/microL). Women were excluded if they had moderate to severe thrombocytopenia (platelet count less than 100,000/microL) or had received a platelet transfusion. The primary outcome was postpartum hemorrhage (quantitative blood loss >=1000 mL). Secondary outcomes included frequencies of red blood cell transfusion, wound complications (surgical site infections, dehiscence, or hematoma), and postpartum Emergency Department visits. Adjusted odds ratios (aOR) with 95% confidence intervals (95%CI) were calculated, controlling for maternal age, gestational age, BMI, scheduled cesarean, hypertension, and pre-operative hemoglobin level.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Postpartum Hemorrhage
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Thrombocytopenia
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Cesarean Section/ae [Adverse Effects]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Female
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Gestational Age
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Postpartum Hemorrhage/ep [Epidemiology]
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Pregnancy
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Retrospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Thrombocytopenia/ep [Epidemiology]
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Centeretsuya
656 ## - INDEX TERM--OCCUPATION
Department Maternal-Fetal Medicine Fellowship
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics & Gynecology Residency
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics and Gynecology/Maternal-Fetal Medicine
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors DiSciullo, Alison
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kawakita, Tetsuya
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Landy, Helain
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mokhtari, Neggin
790 ## - Authors
All authors DiSciullo A, Kawakita T, Landy H, Mokhtari N
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.ajogmf.2021.100368">https://dx.doi.org/10.1016/j.ajogmf.2021.100368</a>
Public note https://dx.doi.org/10.1016/j.ajogmf.2021.100368
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 06/07/2021   33831587 33831587 06/07/2021 06/07/2021 Journal Article

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