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The Value of Urinary Oestriol Estimation in Patients with Antepartum Haemorrhage
Author(s) -
Beischer N. A.,
Reid S.,
Brown J. B.,
Macafee C. A. J.
Publication year - 1970
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1970.tb00429.x
Subject(s) - excretion , medicine , obstetrics , urinary system , incidence (geometry) , estriol , gestation , population , gynecology , pregnancy , biology , estrogen , mathematics , environmental health , genetics , geometry
Summary The clinical results and patterns of urinary oestriol excretion in 139 consecutive patients with antepartum haemorrhage are presented. The perinatal mortality rate was 14.8% in the 54 patients with low oestriol excretion and was 4.7% in those with normal oestriol excretion. Persistently low oestriol values indicated the advisability of delivery before 37 weeks of gestation in 2 of the 36 patients with placentae praevia. In abruptio placentae the incidence of low oestriol excretion was quadruple that of a normal population, and 12 of 43 patients had consistently low oestriol values. Induction of labour was carried out because of low oestriol values alone in only 2 of 60 patients in whom the cause of bleeding was undetermined. Urinary oestriol estimation is of value in selecting the optimum time for delivery in patients with mild to moderate antepartum haemorrhage.