A comparison of clinical assessment with ultrasound in the management of secondary postpartum haemorrhage
Neill, AnneMarie C., Nixon, Richard M. and Thornton, Steven. (2002) A comparison of clinical assessment with ultrasound in the management of secondary postpartum haemorrhage. European Journal of Obstetrics, Gynecology and Reproductive Biology, 104 (2). pp. 113-115. ISSN 0301-2115Full text not available from this repository.
Official URL: http://dx.doi.org/10.1016/S0301-2115(02)00065-9
Objective: To compare the diagnostic accuracy of clinical assessment with transabdominal ultrasound in the management of secondary postpartum haemorrhage (PPH). Design: A prospective cohort study. Methods: Fifty-three women who presented to a teaching hospital obstetric unit with secondary PPH were studied. Patients were divided into those in whom retained placental tissue was or was not the suspected cause of bleeding. This diagnosis was based on history/examination and transabdominal pelvic ultrasound scan. The definitive diagnosis was made following uterine evacuation or was assumed in women who stopped bleeding without surgical management. Likelihood ratio (LR) was used as an accuracy measure. Results: The positive LR for clinical assessment was 5.5 (95% CI 2.7-12.1) compared with 2.4 (95% CI 1.5-3.7) for ultrasound. The negative LRs were 0.1 (95% CI 0.04-0.5) and 0.1 (95% CI 0.02-0.5) for clinical and ultrasound assessment, respectively. Conclusion: Clinical examination and ultrasound scan assessment have limited diagnostic accuracy in secondary PPH. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RG Gynecology and obstetrics|
|Divisions:||Faculty of Science > Life Sciences (2010- ) > Biological Sciences ( -2010)|
|Journal or Publication Title:||European Journal of Obstetrics, Gynecology and Reproductive Biology|
|Publisher:||Elsevier Ireland Ltd.|
|Official Date:||10 September 2002|
|Number of Pages:||3|
|Page Range:||pp. 113-115|
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