European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jan 2004
Randomized Controlled Trial Comparative Study Clinical TrialDoes manual removal of the placenta affect operative blood loss during cesarean section?
To investigate whether manual removal of the placenta is associated with significantly more blood loss compared to spontaneous separation of the placenta during cesarean section. ⋯ Manual delivery of the placenta is not associated with a significantly greater risk of operative blood loss, decreased postoperative hemoglobin levels or increased incidence of endometritis compared with spontaneous placental separation.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jan 2004
Comparative StudyCriteria for transfusion in severe postpartum hemorrhage: analysis of practice and risk factors.
To analyze the accuracy of postpartum hemorrhage risk factors to determine patients at risk of severe postpartum hemorrhage and transfusion. ⋯ The percentage of patients transfused has probably decreased markedly with improved prevention, surveillance and treatment. This study emphasizes that the transfusion risk in the presence of anomalous placental insertion justifies special obstetrical and anesthetic management.