A5103183141- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Pregnancy and preeclampsia studies
- Ectopic Pregnancy Diagnosis and Management
- Uterine Myomas and Treatments
- Cardiovascular Issues in Pregnancy
- Birth, Development, and Health
- Preterm Birth and Chorioamnionitis
- Pregnancy-related medical research
- Reproductive System and Pregnancy
- Assisted Reproductive Technology and Twin Pregnancy
- MicroRNA in disease regulation
- Vascular Procedures and Complications
- Blood Coagulation and Thrombosis Mechanisms
- Pelvic floor disorders treatments
- Gestational Diabetes Research and Management
- Venous Thromboembolism Diagnosis and Management
- Reproductive tract infections research
- Gestational Trophoblastic Disease Studies
- Endometriosis Research and Treatment
- Neonatal Respiratory Health Research
- Neurological Complications and Syndromes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pregnancy and Medication Impact
- Prenatal Screening and Diagnostics
Jichi Medical University
2016-2025
Jichi Medical University Hospital
2011-2018
Fujita Animal Hospital
2004
For cesarean hysterectomy with placenta previa accreta, "universally achievable" measures are required. We propose eight measures: (i) placement of intra-iliac arterial occlusion balloon catheters; (ii) ureter stents; (iii) "holding the cervix" to identify site be transected; (iv) uterine fundal incision; (v) avoidance uterotonics; (vi) "M cross double ligation" for ligating ovarian ligament; (vii) "filling bladder" bladder separation and "opening accreta invasion; (viii) continue clamp...
Abstract Aim In placenta previa ( PP ), anterior placentation, compared with posterior is reported to more frequently cause massive hemorrhage during cesarean section CS ). Whether this due the high incidence of accreta, previous , or a transplacental approach in unclear. We attempted clarify issue. Material and Methods retrospectively analyzed relation between bleeding amount for various factors that may (>2400 m L ) n = 205) tertiary center. If preoperatively ultrasound‐measured...
To determine the incidences of complications and uterine malignancies among women undergoing hysterectomies for presumed benign leiomyomas.We retrospectively reviewed medical records 923 who underwent total between January 1983 December 1997 at our hospital due to leiomyomas.The mean age (SD) patients was 44. 5 +/- 5.2 years, 105 35 minutes required procedure, 405 312 ml blood lost during procedure. Forty-one (4.4%) demonstrated intraoperative hemorrhages transfused blood. Urinary tract...
An extensive study as to whether maternal age itself is a risk factor for blood loss during parturition.A total of 10,053 consecutive women who delivered singleton infant were studied. The excess was defined separately with vaginal and cesarean deliveries > or = 90th centile value each delivery mode. effects 13 potential factors on analyzed using multivariate analysis.The 615 ml 1,531 deliveries, respectively. A low lying placenta (odds ratio [OR], 4.4), previous (3.1), operative (2.6),...
To evaluate retrospective data concerning patients with adnexal masses that were managed surgically during pregnancy and their effect on fetal outcome.Data reviewed pregnant women who required surgery at our hospital between 1980 1997 for an mass.In the past 19 years a total of 69 Japanese aged 28.5 +/- 3.4 (including 2 twin pregnancies) diagnosed surgery. The (10.2 4.5 cm in largest diameter) removed 13.9 3.7 weeks gestation. pathologic features lesions as follows: 33 mature cystic...
Objective: To assess the relationship between absence of vaginal lactobacilli and preterm birth at < 33 weeks gestation. Methods: A prospective study flora in second trimester was undertaken 1958 women with singleton pregnancies. The contribution various microorganisms to delivery analyzed using a multivariate-logistic regression model. Results: Lactobacillus species were not cultured from 28% 118 who delivered weeks, 10% 224 36 5% 1616 > 37 Lactobacilli (odds ratio 95% confidence interval:...
Abstract Introduction Placental abruption is a serious complication, especially when accompanied by intrauterine fetal death. The optimal delivery route for placental with death reducing maternal complications still unclear. In this study we aimed to compare the outcomes between cesarean and vaginal in women Material methods Using Japan Society of Obstetrics Gynecology nationwide perinatal registry database, identified pregnant 2013 2019. following were excluded: those multiple pregnancies,...
Abstract Cesarean hysterectomy for placenta previa percreta with bladder invasion often induces not only massive hemorrhage but also severe bladder/ureter injuries. A 37‐year‐old woman previous cesarean delivery suffered invasion. At the 34th week, we performed hysterectomy. Without separating from uterus/cervix, incised lateral wall using an automatic stapling/cutting device, leaving posterior adhering to uterus and resecting it uterus. The was easily repaired without urological sequelae....
Although massive haemorrhage at caesarean section (CS) for placenta praevia is a serious concern, effective treatment not yet determined. We performed new uterine sandwich to achieve haemostasis CS total in five consecutive cases whom the reached up >5 cm from internal cervical os all directions of an wall. A Matsubara‐Yano (MY) compression suture was placed, followed by placement intrauterine balloon. Haemostasis achieved with median blood loss 1618 mL. No short‐term adverse events were...
Abstract Post‐delivery/‐abortion uterine artery pseudoaneurysm (UAP) sometimes causes life‐threatening bleeding, requiring transarterial embolization (TAE). It is unclear whether some UAP resolve spontaneously. In three patients, resolved spontaneously without TAE. Case 1 was after vacuum delivery with slight bleeding: at day 5 post‐partum, a yin‐yang sign on Color Doppler and an enhanced intrauterine sac‐like structure were observed, leading to the diagnosis of UAP, which disappeared 4...
Objective: It was recently reported that both a high soluble fms-like tyrosine kinase 1 (sFlt1): placental growth factor (PlGF) ratio (sFlt1:PlGF ratio) and endoglin (sEng) levels are related to the later occurrence of preeclampsia. We compared serum sFlt1:PlGF ratio, PlGF sEng in women with gestational proteinuria (GP) those Methods: Seven GP 34 preeclampsia were recruited this study. The 95th percentile values reference curves sFlt1, sEng, 5th curve respectively set as cutoff values....
"Forceps holding the cervix for postpartum haemorrhage." Journal of Obstetrics and Gynaecology, 31(6), p. 509