Use of recombinant activated factor VII in primary postpartum hemorrhage -: The northern European registry 2000-2004

被引：83

作者：

Alfirevic, Zarko ^{[1
]}

Elbourne, Diana ^{[1
]}

Pavord, Sue ^{[1
]}

Bolte, Antoinette ^{[1
]}

Van Geijn, Herman ^{[1
]}

Mercier, Frederic ^{[1
]}

Ahonen, Jouni ^{[1
]}

Bremme, Katarina ^{[1
]}

Bodker, Birgit ^{[1
]}

Magnusdottir, Ebba Margret ^{[1
]}

Salvesen, Kjell ^{[1
]}

Prendiville, Walter ^{[1
]}

Truesdale, Ann ^{[1
]}

Clemens, Felicity ^{[1
]}

Piercy, Deborah ^{[1
]}

Gyte, Gill ^{[1
]}

机构：

[1] Univ Liverpool, Liverpool Womens Hosp, Div Perinatal & Reprod Med, Liverpool L8 7SS, Merseyside, England

来源：

OBSTETRICS AND GYNECOLOGY | 2007年 / 110卷 / 06期

关键词：

D O I：

10.1097/01.AOG.0000288515.48066.99

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: To collect data from nine European countries for cases of obstetric hemorrhage between 2000 and 2004 in which recombinant activated factor VII (rFVIIa) was used. METHODS: The cases were identified through national surveys. Standardized case report forms included socio-demographic details, past medical and obstetric history, and details of the progress and management of labor in which the postpartum hemorrhage occurred. Clinicians were asked to describe subjectively the effect of rFVIIa administration using two mutually exclusive categories: 1) bleeding reduced or 2) bleeding unchanged or worse. RESULTS: A total of 113 forms were returned (88%) with 97 (86%) classified as treatment, and 16 (14%) as "secondary prophylaxis." Clinicians noted improvements after a single dose for 80% of women in the treatment group, and for 75% in the secondary "prophylaxis" group. However, rFVIIa failed in 15 cases (13.8%). Few serious adverse events were noted related to rFVIIa administration; there were four cases of thromboembolism, one myocardial infarction, and one skin rash. CONCLUSION: Clinical reports and hematologic data suggest improvement for more than 80% of women after rFVIIa administration and few adverse effects.

引用

页码：1270 / 1278

页数：9

共 15 条

[1] Recombinant factor VIIa for life-threatening post-partum haemorrhage [J].