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- W2594078152 abstract "Background There are few reports in the literature of the risks associated with second trimester abortion in women with placenta praevia ( PP ). We hypothesise that PP increases the risk of complications. Aims We sought to determine if PP is associated with a higher risk of blood loss and blood transfusion at the time of dilation and evacuation (D&E). Materials and methods The records of 612 consecutive women undergoing abortion at 15–24 weeks of gestation were reviewed. Participant characteristics, need for blood transfusion, estimated blood loss ( EBL ) during the abortion and other complications were compared between women with and without ultrasound‐documented PP . Results Eighty‐seven of 612 (14.2%, 95% CI 11.5‐17.2%) women had ultrasound‐documented PP . The rate of blood transfusion was 3.4 and 1.3% in the group with PP and without PP , respectively (adjusted relative risk ( RR = 2.8, 95% CI 0.7–11.3). An estimated blood loss of 500 cc or greater during the D&E procedure was observed in 12.6% of women in the PP group compared with 4.2% of women in the group without PP (adjusted RR 3.1, 95% CI 1.4–6.8, P = 0.004). Conclusions Second‐trimester abortion in women with PP is associated with a higher risk of blood loss of 500 cc or greater. Our study represents a larger sample size of patients with PP undergoing second‐trimester abortion than previously reported in the literature. Women with PP may have a higher estimated blood loss and may require access to blood transfusion." @default.
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- W2594078152 date "2017-02-01" @default.
- W2594078152 modified "2023-09-27" @default.
- W2594078152 title "Placenta praevia and the risk of adverse outcomes during second trimester abortion: A retrospective cohort study" @default.
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- W2594078152 doi "https://doi.org/10.1111/ajo.12580" @default.
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