Cervical length should be measured for women with placenta previa: cohort study

Altraigey, Ahmed; Ellaithy, Mohamed; Barakat, Ehab; Majeed, Afshan

doi:10.1080/14767058.2019.1659239

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…A short cervical length at admission (< 2.5 cm) was, however, strongly associated with APH. Previous studies have reported that a short cervix is a risk factor in predicting massive bleeding for PP [17][18][19][20]. Although the cut-off value was different in each study,…”

Section: Discussionmentioning

confidence: 77%

Risk Factors and Pregnancy Outcomes of Antepartum Hemorrhage in Women with Placenta Previa

Kim

Cho

et al. 2023

Reprod. Sci.

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Placenta previa (PP) is one such complication related to several adverse pregnancy outcomes. Adverse outcomes are likely greater if PP coexists with antepartum hemorrhage (APH). This study aims to evaluate the risk factors and pregnancy outcomes of APH in women with PP. This retrospective case–control study included 125 singleton pregnancies with PP who delivered between 2017 and 2019. Women with PP were divided into two groups: PP without APH (n = 59) and PP with APH (n = 66). We investigated the risk factors associated with APH and compared the differences between both groups in placental histopathology lesions due to APH and the resulting maternal and neonatal outcomes. Women with APH had more frequent antepartum uterine contractions (33.3% vs. 10.2%, P = .002) and short cervical length (< 2.5 cm) at admission (53.0% vs. 27.1%, P = .003). The placentas from the APH group had lower weight (442.9 ± 110.1 vs. 488.3 ± 117.7 g, P = .03) in the gross findings, and a higher rate of villous agglutination lesions (42.4% vs. 22.0%, P = .01) in the histopathologic findings. Women with APH in PP had higher rates of composite adverse pregnancy outcomes (83.3% vs. 49.2%, P = .0001). Neonates born to women with APH in PP had worse neonatal outcomes (59.1% vs. 23.9%, P = .0001). Preterm uterine contractions and short cervical length were the most significant risk factors for APH in PP.

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Section: Discussionmentioning

confidence: 77%

Risk Factors and Pregnancy Outcomes of Antepartum Hemorrhage in Women with Placenta Previa

Kim

Cho

et al. 2023

Reprod. Sci.

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“…21 Even with the use of different cut-off values at the time of examination and frequency of cervical length measurements, short cervix was verified to strongly predict the occurrence of massive APH. 22 In this study, previous UAE has been identified as a novel eleven-fold increased risk factor for APH. UAE combined with curettage has been proven to be effective and safe for the treatment of cesarean scar pregnancy.…”

Section: Discussionmentioning

confidence: 77%

Maternal and Neonatal Outcomes Resulting from Antepartum Hemorrhage in Women with Placenta Previa and Its Associated Risk Factors: A Single-Center Retrospective Study

Long

Yang

et al. 2021

TCRM

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“…In recent years, the CL has been proposed as a predictor of intraoperative blood loss in patients with placenta previa. However, the research methods and cut‐off values of CL in previous studies were varied 9,15,16,24 . Altraigey et al 9 and Fukushima et al 15 divided patients into two groups (CL ≤3 cm and CL >3 cm), and found that patients with CL ≤3 cm had a higher risk of massive bleeding (bleeding greater than 2000 ml).…”

Section: Discussionmentioning

confidence: 99%

“…However, the research methods and cut‐off values of CL in previous studies were varied 9,15,16,24 . Altraigey et al 9 and Fukushima et al 15 divided patients into two groups (CL ≤3 cm and CL >3 cm), and found that patients with CL ≤3 cm had a higher risk of massive bleeding (bleeding greater than 2000 ml). Using receiver operating characteristics curve analysis, Polat et al 16 found that a CL of 2.05 cm was a predictor of more than four packages of transfused sedimented erythrocytes in patients with placenta percreta undergoing hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Interactions between ultrasonographic cervical length and placenta accreta spectrum on severe postpartum hemorrhage in women with placenta previa

Dang

Fan

Cui

et al. 2023

Intl J Gynecology & Obste

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Objective To explore the interactions between cervical length (CL) and placenta accreta spectrum (PAS) on severe postpartum hemorrhage (SPPH) in patients with placenta previa. Methods A retrospective case–control study was conducted at four medical centers in China, and 588 patients with placenta previa were included. The logistic regression analysis and restricted cubic splines (RCS) were used to evaluate the association between CL and SPPH. Furthermore, the joint effect of CL and PAS on SPPH was assessed, and the additive and multiplicative interactions were calculated. Results After adjusting for potential confounders, the negative linear dose–response relationship was confirmed by RCS, and the change of odds ratio (OR) was more significant when CL was 2.5 cm or less. The risk of SPPH was significantly higher when CL of 2.5 cm or less co‐existed with placenta increta/percreta than when CL of 2.5 cm less, or placenta increta/percreta existed alone (adjusted OR [aOR]CL ≤2.5cm&placenta accreta/non‐PAS 3.40, 95% confidence interval [CI] 1.37–8.45; aORplacenta increta/percreta&CL >2.5cm 4.75, 95% CI 3.03–7.47; aORCL ≤2.5cm&placenta increta/percreta 14.51, 95% CI 6.08–34.64), and there might be additive interaction between CL and placenta increta/percreta on SPPH (attributable proportion due to interaction 50.7%, 95% CI 6.1%–95.3%). Conclusion If CL was routinely performed during PAS evaluation, the increased OR of short CL and PAS could allow better patient preparation through counseling.

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Cervical length should be measured for women with placenta previa: cohort study

Cited by 14 publications

References 26 publications

Risk Factors and Pregnancy Outcomes of Antepartum Hemorrhage in Women with Placenta Previa

Risk Factors and Pregnancy Outcomes of Antepartum Hemorrhage in Women with Placenta Previa

Maternal and Neonatal Outcomes Resulting from Antepartum Hemorrhage in Women with Placenta Previa and Its Associated Risk Factors: A Single-Center Retrospective Study

Interactions between ultrasonographic cervical length and placenta accreta spectrum on severe postpartum hemorrhage in women with placenta previa

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