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Eucidate using SCC how effect when amniotic fluid entered into maternal circulation

Research Project

Project/Area Number 26462497
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionKindai University

Principal Investigator

OI Hidekazu  近畿大学, 医学部附属病院, 教授 (10283368)

Co-Investigator(Kenkyū-buntansha) 小池 奈月  奈良県立医科大学, 医学部, 助教 (20526785)
小林 浩  奈良県立医科大学, 医学部, 教授 (40178330)
岩井 加奈  奈良県立医科大学, 医学部, 助教 (60588531)
成瀬 勝彦  奈良県立医科大学, 医学部, 研究員 (70453165)
重光 愛子  奈良県立医科大学, 医学部, 助教 (50553244)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2014: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywordssquamous cell carcinogen / 後産期出血 / 羊水 / インターロイキン4 / インターロイキン13 / 羊水塞栓症 / アレルギー / インターロイキン4 / 後産期異常出血 / SCC / インターロイキン-13 / インターロイキン-4 / 分娩時出血量 / 分娩時総出血量 / 頸管裂傷 / FDP-Dダイマー / 弛緩出血
Outline of Final Research Achievements

Using maternal serum SCC level which was the amniotic fluid specific marker because of very high amniotic fluid / serum levels, we evaluated the correlation between the the quantity of amniotic fluid entered into the maternal circulation and the amount of postpartum hemorrhage(PPH). When PPH was abnormal(more than 500ml), the difference of maternal serum SCC level before and after the delivery between 2 groups of the abnormal PPH and the normal PPH was clear (SCC: 5.6±2.1ng/ml vs 4.1±2.8ng/ml, P<0.05) statistically.This result was proved statistically that a large amount of amniotic fluid entered into the maternal circulation occured the abnormal PPH. Especially the cases with clinical AFE and cervical laceration increased the maternal serum SCC level. And the difference of FDP-DD level before and after the delivery was also high statistically. However maternal serum level of both IL-4 and IL-13 derived the rise of serum SCC level had no correlation with the large amount of PPH.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (9 results)

All 2017 2016 2015 2014

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 2 results,  Acknowledgement Compliant: 1 results) Presentation (4 results) Book (1 results)

  • [Journal Article] Evaluation of vaginal fluid squamous cell carcinoma antigen test in diagnosis of premature rupture of membranes.2017

    • Author(s)
      Koike N, Oi H, Naruse K, Tsunemi T, Akasaka J, Sado T, Kobayashi H.
    • Journal Title

      J Matern Fetal Neonatal Med.

      Volume: 30 Pages: 334-337

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Amniotic Fluid Embolism: Anaphylactic Reactions With Idiosyncratic Adverse Response2015

    • Author(s)
      Kobayashi H.
    • Journal Title

      Obstet Gynecol Surv.

      Volume: 70 Issue: 8 Pages: 511-517

    • DOI

      10.1097/ogx.0000000000000197

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Predictor of mortality in patients with amnitoic fluid embolism2014

    • Author(s)
      Oi H.
    • Journal Title

      J Obstet Gyneacol Re

      Volume: 40 Issue: 4 Pages: 941-945

    • DOI

      10.1111/jog.12278

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Incidence, diagnosis and pathophysiology of amniotic fluid embolism.2014

    • Author(s)
      Ito F, Akasaka J, Koike N, Uekuri C, Shigemitsu A, Kobayashi H.
    • Journal Title

      J Obstet Gynaecol.

      Volume: 34 Issue: 7 Pages: 580-584

    • DOI

      10.3109/01443615.2014.919996

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] 母体血中への羊水流入マーカーとしてのSCCと分娩時の変2016

    • Author(s)
      小池 奈月, 成瀬 勝彦, 小林 浩, 大井 豪一 他
    • Organizer
      第52回日本周産期・新生児医学会学術集会
    • Place of Presentation
      富山国際会議場(富山市大手町)
    • Year and Date
      2016-07-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] 分娩経過における母体血中羊水流入マーカーとしてのSCCの有用性2015

    • Author(s)
      小池 奈月, 岩井 加奈, 成瀬 勝彦, 大井 豪一, 小林 浩 他
    • Organizer
      日本産婦人科新生児血液学会
    • Place of Presentation
      JA共済ビル カンファレンスホール 東京
    • Year and Date
      2015-06-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 羊水特異マーカーSCCによる羊水塞栓症の新たな血清診断法の確立2015

    • Author(s)
      成瀬 勝彦, 岩井 加奈, 小池 奈月, 大井 豪一, 小林 浩 他
    • Organizer
      日本産科婦人科学会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2015-04-09
    • Related Report
      2015 Research-status Report
  • [Presentation] 正常分娩時における母体血中への羊水流入の弛緩出血への影響2014

    • Author(s)
      大井豪一、成瀬勝彦、小池奈月、岩井加奈、小林浩 他
    • Organizer
      第66回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2014-04-18 – 2014-04-20
    • Related Report
      2014 Research-status Report
  • [Book] 産科診療Q&A 一つ上を行く診療の実践2015

    • Author(s)
      大井 豪一 他【分担執筆】
    • Total Pages
      4
    • Publisher
      中外医学社
    • Related Report
      2015 Research-status Report

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Published: 2014-04-04   Modified: 2020-01-20  

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