Risk factors for massive hemorrhage during the treatment of cesarean scar pregnancy: a systematic review and meta-analysis.

Archives of Gynecology and Obstetrics
Yuan ZhangMing Lu

Abstract

Cesarean scar pregnancy (CSP) is one of the serious complications associated with cesarean delivery (CD). This meta-analysis aims to identify risk factors associated with massive hemorrhage during the CSP treatment. Eight electronic databases were searched for case-control studies published before December 31th, 2018, which compared the possible factors causing massive bleeding during the CSP treatment. Quantitative synthesis was performed by RevMan 5.3. Sensitivity analysis and publication bias were performed by Stata 12.0. Total 20 case - control studies including 3101 CSP patients with previous CD met the inclusion criteria. Bleeding group had 573 patients and the control group had 2528 patients. The risk factors for massive bleeding during CSP treatment included multiple gravidities (MD = 0.15, 95% CI 0.03-0.28, P = 0.73), big maximum diameter of gestation sac (MD = 18.49 mm, 95%CI 15.34-21.65, P < 0.01), high gestational days (MD = 8.98 days, 95% CI 4.12-13.84, P < 0.01), high β-HCG level (MD = 21.39 IU/ml, 95% CI 7.36-35.41, P = 0.03; MD = 3.02 U/ml, 95% CI 0.21-5.84, P < 0.01) and rich blood flow around the lesion (OR = 6.73, 95% CI 3.93-11.51, P = 0.59). While, thick myometrium (MD = - 4.94 mm, 95% CI - 6.12 to - 3.75, ...Continue Reading

References

Feb 13, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Y VialP Hohlfeld
Apr 1, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D JurkovicC J Elson
Mar 18, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K-M SeowJ-L Hwang
Feb 23, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·A AshD Maxwell
Apr 21, 2012·American Journal of Obstetrics and Gynecology·Ilan E Timor-Tritsch, Ana Monteagudo
May 23, 2012·American Journal of Obstetrics and Gynecology·Ilan E Timor-TritschAlan A Arslan
Sep 24, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jian-Hua WangLi-Li Huang
Dec 3, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Chen Weilin, Jin Li
Mar 21, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Aya Y MichaelsDaniela A Carusi
Nov 7, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Q WangX Zhao
Nov 14, 2015·Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae·Kang-Ning LiYu-Xin Jiang
Mar 8, 2017·Journal of Minimally Invasive Gynecology·Natalia Gonzalez, Togas Tulandi
Jun 21, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Qingxian FangXiaoying Yao
Jul 1, 2017·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G CalìF D'Antonio
Mar 17, 2018·Cardiovascular and Interventional Radiology·Amartuvshin TumenjargalYoshito Tsushima
Sep 12, 2018·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Yuqi ZhangLian Zhang
Oct 14, 2020·Archives of Gynecology and Obstetrics·Dania Al-JaroudiSaeed Baradwan

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