Influential factors of adverse pregnancy outcome in women with subchorionic hematoma
10.3760/cma.j.cn341190-20211011-01158
- VernacularTitle:绒毛膜下血肿不良妊娠结局影响因素分析
- Author:
Kadir GULISITAN
1
;
Baowen QI
;
Yan LIU
;
Shuang SUI
;
Huili HE
Author Information
1. 新疆维吾尔自治区人民医院超声科，乌鲁木齐 830001
- Keywords:
Hematoma;
Chorion;
Pregnancy outcome;
Reproductive techniques,assisted;
Obstetric complications;
Placenta;
Abruptio placentae;
Root cause analysis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2023;30(5):688-691
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the influential factors of adverse pregnancy outcomes in women with subchorionic hematoma.Methods:A total of 101 women with subchorionic hematoma who received treatment in the People's Hospital of Xinjiang Uygur Autonomous Region from January 2017 to June 2020 were included in this study. They were divided into a control group and an adverse pregnancy outcome group according to whether there was an adverse pregnancy outcome. The epidemiological characteristics, hematoma characteristics observed on ultrasound images, and pregnancy outcomes were compared between the two groups.Results:There was no significant difference in the number of women who used assisted reproductive technology between the control and adverse pregnancy outcome groups [6 (8.0%) vs. 8 (30.7%), χ2 = 8.38, P = 0.004]. There was a significant difference in hematoma volume between adverse pregnancy outcome and control groups [(4.12 ± 0.61) mL vs. (6.36 ± 0.87) mL, t = 6.73, P = 0.009]. There was a significant difference in the number of patients who had obstetric complications between control and adverse pregnancy outcome groups [11 (14.7%) vs. 16 (61.5%), χ2 = 21.66, P = 0.001]. There was a significant difference in the number of patients who had hematomas located at the edge of the placenta between the control and adverse pregnancy outcome groups [15 (20.0%) vs. 12 (46.2%), χ2 = -4.81, P = 0.001]. Conclusion:Women who use assisted reproductive technology for pregnancy, have obstetric complications, or have a subchorionic hematoma with hematoma at the edge of the placenta are more likely to experience a miscarriage. Therefore, women of childbearing age should actively treat the primary disease and be alert to the occurrence of placental abruption.
