ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2023
Fibrinogen for the prediction of severe maternal complications in placental abruption with fetal death after 24 weeks of gestation.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 13 citations in OpenAlex.
- Genetic Associations ofInternational journal of molecular sciences · 2025Article
- Interpretable machine learning for predicting placental abruption in early-onset preeclampsia: model development and evaluation.Frontiers in medicine · 2025Article
- Intrauterine death from placental abruption: influence of labor duration and mode of delivery on maternal outcomes.Frontiers in medicine · 2025Article
- Non-Immune Hydrops Fetalis in a Pregnant Woman with Chronic Alcohol Use: A Case Report.International medical case reports journal · 2025Article
- Haemostatic agents in the management of obstetric haemorrhage.BJA education · 2024Review
- Predictors of Postpartum Hemorrhage and Associated Outcomes at a Midwest Academic Medical Center.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Fibrinogen for the prediction of severe maternal complications in placental abruption with fetal death after 24 weeks of gestation.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023Article
- The indicators for early blood transfusion in patients with placental abruption with intrauterine fetal death: a retrospective review.BMC pregnancy and childbirth · 2022Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the correlation between standard laboratory indicators at admission and severe maternal complications due to placental abruption (PA) with intrauterine fetal death (IUFD) after 24 weeks.
methodsRetrospective study in three French tertiary referral hospitals. Correlation of laboratory indicators at admission (platelet count, prothrombin, activated partial thromboplastin time, fibrinogen) and severe maternal complications (massive transfusion, multiple organ failure, hysterectomy, or maternal deaths) in patients with PA and IUFD.
resultsOver 12 years, we identified 27/344 (7.8%) pregnant women presenting PA with IUFD. No patient had coagulopathy at admission. Fifteen individuals (55.5%) underwent delivery by cesarean section before or during labor. Fifteen individuals (55.5%) presented severe complications, and 17/27 (63%) lost more than 1 L of blood during delivery. Fibrinogen level was shown to be the laboratory indicator most correlated with severe complications (r = -0.52, P = 0.01). The receiver operating characteristic curve of fibrinogen less than 1.9 g/L in the prediction of severe complications (area under the curve = 0.80, 95% confidence interval [CI] 0.54-0.97) showed both a sensitivity and specificity of 83% (95% CI 54%-96%).
conclusionsIn cases of IUFD with PA, fibrinogen levels at admission had a prognostic value for the prediction of severe maternal complications.
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