Maternal Near Miss According to World Health Organization Classification Among Women with a Hydatidiform Mole Experience at the New England Trophoblastic Disease Center, 1994-2013

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dc.citation.volume61
dc.contributor.authorSun, Sue Yazaki [UNIFESP]
dc.contributor.authorGoldstein, Donald P.
dc.contributor.authorBernstein, Marilyn R.
dc.contributor.authorHorowitz, Neil S.
dc.contributor.authorMattar, Rosiane [UNIFESP]
dc.contributor.authorMaesta, Izildinha
dc.contributor.authorBraga, Antonio
dc.contributor.authorBerkowitz, Ross S.
dc.coverageSt Louis
dc.date.accessioned2020-07-22T13:22:57Z
dc.date.available2020-07-22T13:22:57Z
dc.date.issued2016
dc.description.abstractOBJECTIVE: To investigate the frequency of potentially life-threatening conditions (PLTCs) and maternal near misses (MNMs) at the New England Trophoblastic Disease Center (NETDC) in recent years, when there has been earlier diagnosis of molar pregnancy. STUDY DESIGN: This study included patients with molar pregnancy at the NETDC between 1994 and 2013. Clinical and pathologic reports were reviewed. PLTC and MNM criteria and maternal deaths were searched in medical records using the World Health Organization criteria and classification. RESULTS: We identified 375 patients with molar pregnancy and no patient developed a MNM or maternal death. Only 6 (1.6%) had PLTCs (hemorrhage with hemodynamic instability, severe preeclampsia, respiratory distress, blood transfusion, and ICU admission). CONCLUSION: We observed a low rate of PLTC and no cases of MNMs or maternal deaths related to molar pregnancy, likely due to earlier diagnosis at the NETDC in recent years.en
dc.description.affiliationUniv Fed Sao Paulo, UNIFESP, Sao Paulo Hosp, Paulista Sch Med,Dept Obstet, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, UNIFESP, Sao Paulo Hosp, Paulista Sch Med,Trophoblast Dis Ctr, Sao Paulo, SP, Brazil
dc.description.affiliationBrigham & Womens Hosp, Dept Obstet & Gynecol, Div Gynecol Oncol, 75 Francis St, Boston, MA 02115 USA
dc.description.affiliationSao Paulo State Univ, UNESP, Botucatu Med Sch, Dept Gynecol & Obstet, Botucatu, SP, Brazil
dc.description.affiliationSao Paulo State Univ, UNESP, Botucatu Med Sch, Trophoblast Dis ctr, Botucatu, SP, Brazil
dc.description.affiliationTrophoblast Tumor Registry, New England Trophoblast Dis Ctr, Boston, MA USA
dc.description.affiliationUniv Fed Rio de Janeiro, Matern Sch, Trophoblast Dis Ctr, BR-21941 Rio De Janeiro, Brazil
dc.description.affiliationUniv Fed Fluminense, Antonio Pedro Univ Hosp, Trophoblast Dis Ctr, BR-24220000 Niteroi, RJ, Brazil
dc.description.affiliationHarvard Ctr Canc, Dana Farber Canc Inst, Boston, MA USA
dc.description.affiliationHarvard Univ, Sch Med, Boston, MA USA
dc.description.affiliationUnifespUniv Fed Sao Paulo, UNIFESP, Sao Paulo Hosp, Paulista Sch Med,Dept Obstet, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, UNIFESP, Sao Paulo Hosp, Paulista Sch Med,Trophoblast Dis Ctr, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCNPq Science Without Borders-Brazil
dc.description.sponsorshipDonald P. Goldstein, M.D., Trophoblastic Tumor Registry Endowment
dc.description.sponsorshipDyett Family Trophoblastic Disease Research and Registry Endowment
dc.description.sponsorshipIDCNPq: 200756/2014-1
dc.format.extent210-214
dc.identifier.citationJournal Of Reproductive Medicine. St Louis, v. 61, n. 43621, p. 210-214, 2016.
dc.identifier.issn0024-7758
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55959
dc.identifier.wosWOS:000376228500007
dc.language.isoeng
dc.publisherSci Printers & Publ Inc
dc.relation.ispartofJournal Of Reproductive Medicine
dc.relation.ispartof18th World Congress on Gestational Trophoblastic Diseases
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjecthydatidiform moleen
dc.subjectgestational trophoblastic diseaseen
dc.subjectmaternal near missen
dc.subjectmaternal welfareen
dc.subjectmaternal mortalityen
dc.subjectpregnancy complicationsen
dc.titleMaternal Near Miss According to World Health Organization Classification Among Women with a Hydatidiform Mole Experience at the New England Trophoblastic Disease Center, 1994-2013en
dc.typeinfo:eu-repo/semantics/article
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