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Evaluation of obstetrical factors related to S heehan syndrome
Author(s) -
Matsuwaki Takahiro,
Khan Khaleque Newaz,
Inoue Tsuneo,
Yoshida Atsushi,
Masuzaki Hideaki
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12119
Subject(s) - medicine , magnetic resonance imaging , disseminated intravascular coagulation , sheehan's syndrome , shock (circulatory) , pituitary apoplexy , obstetrics , pediatrics , radiology , surgery , hypopituitarism , adenoma , pituitary adenoma
Abstract Aim To evaluate factors related to the occurrence of S heehan 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 S heehan syndrome.