American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jan 2010
CommentDiscussion: 'Maternal hypotension during cesarean section' by Maayan-Metzger et al.
In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Maayan-Metzger A, Schushan-Eisen I, Todris L, et al. Maternal hypotension during elective cesarean section and short-term neonatal outcome. Am J Obstet Gynecol 2010;202:56.e1-5.
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Am. J. Obstet. Gynecol. · Jan 2010
Surgical management of placenta accreta: a cohort series and suggested approach.
The purpose of this study was to describe the use of a staged procedure that involved femoral artery catheterization, classic cesarean section delivery, and uterine and placental embolization before hysterectomy for placenta accreta. ⋯ We found that the successful use of a staged embolization hysterectomy procedure for placenta accreta is associated with decreased maternal morbidity.
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Am. J. Obstet. Gynecol. · Jan 2010
Case ReportsSynchronous autotransfusion during cesarean hysterectomy.
Placenta accreta is associated with major morbidities including massive hemorrhage. We report a cesarean hysterectomy for placenta accreta with synchronous autotransfusion using a standard cardiopulmonary bypass machine. This technique requires complete intraoperative heparinization yet has the advantage of autotransfusion of autologous clotting factors and platelets in addition to red blood cells.