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Abstract:
OBJECTIVE:To evaluate factors associated with subgaleal hemorrhage (SGH) severity following attempted vacuum-assisted delivery (VAD). STUDY DESIGN:This retrospective cohort study was conducted in a tertiary medical center. The population comprised parturients who delivered at our medical center during 2009-2018, and who underwent attempted VAD with singleton pregnancies that resulted in neonatal SGH formation. SGH severity was classified as mild and non-mild (moderate or severe). The main outcome measures were determinants associated with SGH severity. RESULTS:Among 350 neonates with SGH, the degree of severity was non-mild for 48 (13.7%). Compared to the mild group, in the non-mild group, small for gestational age was more common (8.2% vs. 2.6%, p = 0.04). Compared to the mothers in the mild group, in the non-mild group, the proportion with two or more deliveries was lower (0% vs. 7.3%, p = 0.05), gestational diabetes was more common (12.5% vs. 4.6%, p = 0.02), the rate of cervical ripening was higher (27.1% vs. 12.9%, p = 0.02), the duration of the second stage of delivery was longer (mean 177 vs. 152 min, p = 0.04), and the rate of two dislodgments was higher (31.2% vs. 15.2%, p = 0.006). On multivariate analysis, only cervical ripening (adjusted odds ratio [OR]: 2.50; 95% confidence interval [CI]: 1.20-5.26; P = 0.01 and second stage duration (adjusted OR: 1.13; 95% [CI]: 1.00-1.29; P = 0.05) were independently associated with more severe SGH. CONCLUSIONS:The duration of second stage and ripening of the cervix during induction of labor are independently associated with SGH severity following attempted VAD.
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最新影响因子:2.831 | 期刊ISSN:0301-2115 | CiteScore:N/A |
出版周期:Bimonthly | 是否OA:YES | 出版年份:1973 |
期刊官方网址:http://www.elsevier.com/wps/find/journaldescription.cws_home/505961/description
自引率:4.00% | 研究方向:医学-妇产科学 |
出版地区:NETHERLANDS |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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The European Journal of Obstetrics & Gynecology and Reproductive Biology publishes original research, reviews and case reports in the fields of obstetrics, prenatal diagnosis, general gynecology, gynecologic oncology, uro-gynecology, infertility and reproductive endocrinology. The journal promotes scientific and clinical professional communication about the state of the art in obstetrics and gynecology worldwide and in particular in Europe.
《欧洲妇产科和生殖生物学杂志》发表了产科、产前诊断、普通妇科、妇科肿瘤、泌尿妇科、不孕不育和生殖内分泌领域的原始研究、综述和病例报告。该杂志促进科学和临床专业交流,在世界范围内,尤其是在欧洲,产科和妇科的最新进展。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 4区 REPRODUCTIVE BIOLOGY (生殖生物学) 4区 |
50/82 21/29 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
357 | 295 | 62 |
引文计数(2018)
文献(2015-2017)
N/A次引用
N/A篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Reproductive Medicine
|
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审稿时间: 12个月内 接受率: 一般容易(75%命中)
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研究方向:meta
影响因子:5.576
ISSN:0885-3924
研究方向:医学-临床神经学
影响因子:6.005
ISSN:0192-415X
研究方向:医学-全科医学与补充医学
影响因子:202.731
ISSN:0140-6736
研究方向:医学-医学:内科
影响因子:2.898
ISSN:1807-5932
研究方向:医学-医学:内科
影响因子:1.817
ISSN:0025-7974
研究方向:医学-医学:内科
影响因子:3.006
ISSN:2044-6055
研究方向:MEDICINE, GENERAL & INTERNAL-
影响因子:0.834
ISSN:0020-9554
研究方向:医学-医学:内科
影响因子:0.522
ISSN:1108-4189
研究方向:MEDICINE, GENERAL & INTERNAL-
影响因子:11.15
ISSN:1741-7015
研究方向:医学-医学:内科
发表一篇学和医学成像类SCI论文
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