Rotational thromboelastometry during Cesarean section as a predictive evaluation for the progression of persistent postpartum hemorrhage in parturients with placenta previa: A prospective observational study

The rotational thromboelastogram (ROTEM) has been used in the management of massive bleeding and transfusion strategy. This study investigated ROTEM parameters measured during Cesarean section as predictors for the progression of persistent postpartum hemorrhage (PPH) in parturients with placenta pr...

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Bibliographic Details
Published in:Heliyon 2023-02, Vol.9 (2), p.e13563-e13563, Article e13563
Main Authors: Shin, H.-J., Nam, S.W., Koo, B.-W., Kim, J., Hwang, J.-W., Do, S.-H., Na, H.-S.
Format: Article
Language:English
Subjects:
Cesarean section
Placenta previa
Postpartum hemorrhage
Rotational thromboelastogram
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Summary:The rotational thromboelastogram (ROTEM) has been used in the management of massive bleeding and transfusion strategy. This study investigated ROTEM parameters measured during Cesarean section as predictors for the progression of persistent postpartum hemorrhage (PPH) in parturients with placenta previa. This prospective observational study recruited 100 women scheduled for elective Cesarean section after being diagnosed with placenta previa. Recruited women were divided into two groups according to the amount of estimated blood loss: the PPH group (PPH > 1500 ml) vs. the non-PPH group. ROTEM with laboratory tests was performed three times, preoperative, intraoperative, and postoperative time, which were compared between the two groups. The PPH and non-PPH groups included 57 and 41 women, respectively. The area under the receiver-operating characteristic curve of postoperative FIBTEM A5 to detect PPH was 0.76 (95% CI = 0.64 to 0.87; P 
ISSN:2405-8440
2405-8440
DOI:10.1016/j.heliyon.2023.e13563