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has been cited by the following article:

• TITLE: A New Protocol for Determining Intervention with Trans-Catheter Arterial Embolization or Surgical Hemostasis for Obstetric Hemorrhage

  AUTHORS: Mai Myoga, Kazuaki Yoshimura, Toru Hachisuga

  KEYWORDS: Obstetric Hemorrhage, Trans-Catheter Arterial Embolization (TAE), Surgical Hemostasis, Obstetrical DIC Score, Complications

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.5 No.3, February 27, 2015

  ABSTRACT: Objectives: The aim of this study is to introduce protocols for choosing trans-arterial embolization (TAE) or surgical hemostasis as an initial therapy for obstetric hemorrhage. Materials and Methods: From 2002 to 2011 at our hospital, the medical records of the patients who underwent TAE or surgical hemostasis for obstetric hemorrhage were reviewed to assess the following data: The causes of obstetric hemorrhage, Shock Index (SI) and obstetrical disseminated intra-vascular coagulation (DIC) score, amount of bleeding, transfusion, and operation time. Results: Twenty-five patients underwent TAE and six underwent surgical hemostasis. SI and obstetrical DIC score of the TAE group were 1.0 (0.4 - 2.2) and 6.0 (1 - 32), respectively. They were significantly lower than those of the surgical hemostasis group (SI: 1.6, obstetrical DIC score: 12.5, p