Evaluation of obstetrical factors related to Sheehan syndrome

Aim: To evaluate factors related to the occurrence of Sheehan syndrome. Methods: The obstetrical disseminated intravascular coagulation score, total volume of hemorrhage, shock index, level of consciousness at the time of shock occurrence and pituitary magnetic resonance imaging findings were evaluated in nine women who showed massive hemorrhage during delivery. These clinical outcomes were analyzed in all these patients who were prospectively followed-up to identify any possible occurrence of Sheehan syndrome. Results: Compared to six women with non-Sheehan syndrome, three women who were diagnosed with Sheehan syndrome showed significant elevation of the obstetrical disseminated intravascular coagulation score, decrease in the level of consciousness during shock and remarkable pituitary gland atrophic change with an empty sella turcica detected by pituitary magnetic resonance imaging. The volume of hemorrhage during delivery and shock index were not significantly different between these two groups of women. Conclusion: Careful attention and follow-up should be paid to women with post-partum massive hemorrhage for early detection and management of women with Sheehan syndrome.;開始ページ : 46;終了ページ : 52;元資料の権利情報 : © 2013 Japan Society of Obstetrics and Gynecology.;元資料の権利情報 : The definitive version is available at Wiley Online Library , www.wileyonlinelibrary.com.



書名 Evaluation of obstetrical factors related to Sheehan syndrome
著作者等 Asia and Oceania Federation of Obstetrics and Gynaecology
松脇 隆博
書名別名 Sheehan症候群に関与する産科的要因に関する検討
出版元 日本産科婦人科学会
刊行年月 c1996-c2009
ページ数 v.
大きさ 26 cm
ISSN 13418076
NCID AA11082002
※クリックでCiNii Booksを表示
言語 英語
出版国 日本

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