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Cited by 25Maternal and fetal healthcarePregnancy and preeclampsia studiesMaternal and Perinatal Health Interventions

Prediction of fetal acidemia in placental abruption

Open access
Matsuda, Yoshio, Ogawa, Masaki, Konno, Jun, Mitani, Minoru, Matsui, Hideo·2013·BMC Pregnancy and Childbirth
DOI 10.1186/1471-2393-13-156PMC PMC3735466
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Abstract

BACKGROUND: To determine the major predictive factors for fetal acidemia in placental abruption. METHODS: A retrospective review of pregnancies with placental abruption was performed using a logistic regression model. Fetal acidemia was defined as a pH of less than 7.0 in umbilical artery. The severe abruption score, which was derived from a linear discriminant function, was calculated to determine the probability of fetal acidemia. RESULTS: Fetal acidemia was seen in 43 survivors (43/222, 19%). A logistic regression model showed bradycardia (OR (odds ratio) 50.34, 95% CI 11.07-228.93), and late decelerations (OR 15.13, 3.05-74.97), but not abnormal ultrasonographic findings were to be associated with the occurrence of fetal acidemia. The severe abruption score was calculated for the occurrence of fetal acidemia, using 6 items including vaginal bleeding, gestational age, abdominal pain, abnormal ultrasonographic finding, late decelerations, and bradycardia. CONCLUSIONS: An abnormal FHR pattern, especially bradycardia is the most significant risk factor in placental abruption predicting fetal acidemia, regardless of the presence of abnormal ultrasonographic findings or gestational age.

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  • In a retrospective cohort study of 355 patients who had clinical abruption in 2009 and delivered in a consortium of 94 centers in Japan, after excluding 89 fetal deaths on presentation, 166 (62.4%) fetal heart rate tracings were abnormal.

    “In a retrospective cohort study of 355 patients who had clinical abruption in 2009 and delivered in a consortium of 94 centers in Japan, and after excluding 89 fetal deaths on presentation, 166 (62.4%) FHR tracings were abnormal (72).”

    From Placental abruption at near-term and term gestations: Pathophysiology, epidemiology, diagnosis, and management (2023) · cites this paper as [72]

    The Results report 355 placental-abruption cases across 94 institutes, 89 fetal deaths on admission, and abnormal FHR patterns in 166 of the 266 remaining cases (62.4%). However, the Methods describe a retrospective case–control study, not a cohort study, and note that some FHR patterns were detected by Doppler or auscultation rather than tracings. (LLM, conf=0.88)

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Research works printed but not linked: 2

  1. Intrapartum care Care of healthy women and their babies during childbirth, NICE clinical guideline 55 http://www.nice.org.uk/nicemedia/pdf/IPCNICEGuidance.pdf#search='nice+clinical+guideline+55' 21250397
  2. Nyberg DA Mack LA Beeditti TJ Cyr DR Schuman WP Placental abruption and placental hemorrhage: correlation of sonographic findings with fetal outcome Radiology 1987 164 357 361 3299486

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Authors
Matsuda, Y., Ogawa, M., Konno, J., Mitani, M., & Matsui, H.
Affiliations
  • Tokyo Women's Medical University Hospital (JP)
  • Tokyo Women's Medical University (JP)
Corresponding author
Matsuda, Yoshio
ORCID
Venue
BMC Pregnancy and Childbirth
Publisher
Springer Science and Business Media LLC
Published
2013-08-01
Volume
13
Issue
1
Pages
156-156
ISSN
1471-2393 (ISSN-L)
DOI
10.1186/1471-2393-13-156
PMC
PMC3735466
OpenAlex
W2133241972
Cited by
24
References
25
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 2
FWCI
1.87
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Pregnancy and Childbirth (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion, cc-by-nc-nd)
Funders
  • National Center for Child Health and Development
  • Asahikawa Medical University
  • Kindai University
  • National Center for Global Health and Medicine
  • National Defense Medical College
  • University of Occupational and Environmental Health
  • Jichi Medical University
  • Kanazawa Medical University
  • Shimane University
  • Wakayama Medical University
  • University of Tokyo
  • Fukuoka University
  • Nara Medical University
  • Hyogo College of Medicine
  • Hirosaki University
  • Hokkaido University
  • Kitasato University
  • Tokyo Medical and Dental University
  • Jikei University School of Medicine
  • University of the Ryukyus
  • Tokyo Women's Medical University
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
placental abruption, fetal acidemia, umbilical artery pH, fetal bradycardia, late decelerations, fetal heart rate patterns, risk factors
MeSH terms
Abruptio Placentae, Acids, Bradycardia, Cesarean Section, Female, Fetal Blood, Fetal Diseases, Gestational Age, Heart Rate, Fetal, Humans, Hydrogen-Ion Concentration, Male, Predictive Value of Tests, Pregnancy, Retrospective Studies, Risk Factors, ROC Curve, Severity of Illness Index, Ultrasonography, Umbilical Arteries, Uterine Hemorrhage, Abdominal Pain, Logistic Models, Area Under Curve

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