Obstetric factors and pregnancy outcome in placenta previa

Ojha, Neebha

doi:10.3126/joim.v34i2.9053

Cited by 15 publications

(25 citation statements)

References 6 publications

(10 reference statements)

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“…In this study nearly one fourth of women were above 30 years of age and more than three fourth of women (79%) were multiparas. These results are comparable with the study done by Ojha N et al, Wu S et al 12,13 26.4% of women were managed by Macafee and Johnson protocol, which includes bed rest, periodic blood investigations and cross matched blood ready, watch on vaginal bleeding, frequent fetal surveillance with USG steroid prophylaxis if gestation is less than 34 weeks. It causes decrease in perinatal mortality.…”

Section: Discussionsupporting

confidence: 81%

Clinical study of placenta previa and its effect on maternal health and fetal outcome

Sarojini

Malini

Radhika

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 81%

Clinical study of placenta previa and its effect on maternal health and fetal outcome

Sarojini

Malini

Radhika

2016

Int J Reprod Contracept Obstet Gynecol

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“…Higher age of the patient and increased parity has been found to be the most important risk factors to develop placenta praevia. Twenty seven (42.8%) of the women were between the age group 26 -30 years and 9 (14.2%) were more than 30 years of age, which was much lower than the study conducted by Sarojini et al, Ojha N et al and Wu S et al 13,20,21,23 .…”

Section: Discussioncontrasting

confidence: 49%

“…In a retrospective cohort study of 399 women conducted by Urganchi et al placenta praevia in the present pregnancy was noted in 4.4 per 1000 births, compared to 8.7 per 1000 birth for women with cesarean section in the first pregnancy 22 . In the study by Ojha et al, previous history of abortions had a significant increase in the prevalence of placenta praevia i.e three times in comparison to the women with no history of dilation and curettage 23 .…”

Section: Discussionmentioning

confidence: 99%

Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

Shivananjaiah¹,

Malapure²,

Shanbhag³

et al. 2018

OBGYN

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Objective: The study was conducted to see the maternal and neonatal outcomes of the women with placenta praevia. Methods: All women with the diagnosis of placenta praevia admitted in the hospital were included in the study. The maternal and fetal outcomes were recorded from January 2012 to August 2017, over a period of 5 years. Results: A total of 63 patients were included in the study, after radiological confirmation. The period of gestation for the first presentation was predominantly in 28 weeks of gestation, for central placenta praevia. The mean blood loss intraoperative was 3000 ml, ranging to as much as 5500 ml in central placenta praevia and more so in posterior than anterior placenta. The need of additional procedure like uterine artery ligation was needed in 26 (41.2%), internal iliac artery ligation 8 (12.6%), B lynch in 12 (19.04%) and peripartum hysterectomy was performed in 3 (4.7%). The mean requirement of blood transfusion was 500ml of packed cell. The need of ICU care was in 5 (7.9%) and serious morbidity was seen in 3 (4.7%). Maternal mortality was not seen in any case. Fetal outcomes were studied by recording the fetal weight, Apgar and need of NICU care which was for 23 (36.5%). Conclusion: The need for early diagnosis and multispecialty approach to a patient is greatly associated with reducing the blood loss, lesser need of additional procedure and lower maternal and fetal mortality and morbidity.Keywords: Placenta praevia, accreta, antepartum hemorrhage, maternal complication.Placenta praevia means the placenta located in the lower uterine segment which is less than 2.5 cms from the cervical os 1 . This condition is complicating about 0.3 to 0.8% of all pregnancy 2-5 . The risk factors for developing placenta praevia are previously scarred uterus, grand multiparty, maternal age of more than 35 years, recurrent abortion and intrauterine curettage 6-9 .Maternal morbidity in the form of abnormal placentation, increased risk of section and additional procedure, need for blood transfusion and ICU care and fetal morbidity in the form of preterm, low birth weight, low Apgar and need for NICU care makes it a must for care in a higher center and with available advanced resources [10][11][12][13] . The most frequent management in the form of section which is on the rise in today's era more so increases the risk of placenta praevia in the next RESEARCH ARTICLE

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“…While the precise etiology of placenta previa is not known, previous studies have elucidated predictive factors such as high maternal age, twin pregnancies, previous Caesarean section, previous uterine scar, grand multiparity, malpresentation, and diabetes mellitus [5, 7–11]. …”

Section: Introductionmentioning

confidence: 99%

Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania

Senkoro

Mwanamsangu

Chuwa

et al. 2017

Journal of Pregnancy

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Background and Objective. Placenta previa (PP) is a potential risk factor for obstetric hemorrhage, which is a major cause of fetomaternal morbidity and mortality in developing countries. This study aimed to determine frequency, risk factors, and adverse fetomaternal outcomes of placenta previa in Northern Tanzania. Methodology. A retrospective cohort study was conducted using maternally-linked data from Kilimanjaro Christian Medical Centre birth registry spanning 2000 to 2015. All women who gave birth to singleton infants were studied. Adjusted odds ratios (ORs) with 95% confidence intervals for risk factors and adverse fetomaternal outcomes associated with PP were estimated in multivariable logistic regression models. Result. A total of 47,686 singleton deliveries were analyzed. Of these, the frequency of PP was 0.6%. Notable significant risk factors for PP included gynecological diseases, alcohol consumption during pregnancy, malpresentation, and gravidity ≥5. Adverse maternal outcomes were postpartum haemorrhage, antepartum haemorrhage, and Caesarean delivery. PP increased odds of fetal Malpresentation and early neonatal death. Conclusion. The prevalence of PP was comparable to that found in past research. Multiple independent risk factors were identified. PP was found to have associations with several adverse fetomaternal outcomes. Early identification of women at risk of PP may help clinicians prevent such complications.

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Obstetric factors and pregnancy outcome in placenta previa

Abstract: Introduction: Placenta previa is one of the major causes for maternal morbidity and mortality. The aim of this study was to analyze the obstetrical factors associated with placenta previa and to find out the maternal and perinatal outcome of these cases.

Cited by 15 publications

References 6 publications

Clinical study of placenta previa and its effect on maternal health and fetal outcome

Clinical study of placenta previa and its effect on maternal health and fetal outcome

Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania

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