Placenta Previa

Lavery, J. Patrick

doi:10.1097/00003081-199009000-00005

Cited by 47 publications

(28 citation statements)

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“…pregnancy and also the placenta accreta 14,15 . In a woman with placenta praevia in the first pregnancy the risk of developing placenta praevia is 1-3% in contrast to a multigravida where the risk is 30-51% higher 16 .…”

Section: Research Articlementioning

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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Section: Research Articlementioning

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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“…In humans the blastocyst is completely embedded in the substance of endometrium so abnormalities of endometrial vascularization, delayed ovulation, and prior trauma to the endometrium appear to influence the site of implantation, therefore contributing to the probability of Placenta Previa. 4,5 A number of studies have established its association with 6,9 :…”

Section: Introductionmentioning

confidence: 99%

Study of antepartum haemorrhage and its maternal and perinatal outcome

Tyagi

Yadav

Sinha

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…[14][15][16] Recurrent rate is 4 to 8 % of subsequent pregnancies. 17 Placenta previa increases the risk of maternal and fetal complications. 18 The adverse maternal outcome like postpartum hemorrhage, cesarean hysterectomy, increased need for blood transfusion, bladder injuries are dreaded complications.…”

Section: Discussionmentioning

confidence: 99%

Comparison of active versus expectant management on fetomaternal outcome in patients with placenta previa

Arthi

Durga²,

Jalakandan

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Placenta previa is one of the leading cause (31%) of obstetric hemorrhage. It accounts for significant maternal and perinatal morbidity and mortality. The objective of the present investigation was to compare the effect of active management versus expectant management on maternal and fetal outcome in patients with placenta previa.Methods: This randomized prospective cohort study was conducted on 100 Patients of 32 weeks to 36 weeks of gestation with diagnosis of Placenta previa. Selected patients were randomly divided into Group A- Active management and Group B - Expectant management.Results: In both the groups, majority of women were in the age group of 26-30 years and were multigravidas. The need for blood transfusion and the mode of delivery were similar in both the groups. Group A had higher incidence of PPH (22% vs 10%) and peripartum hysterectomy (18% vs 2%) when compared to group B. The maternal deaths were more in group A (4% vs 2%). Majority of the babies born to group A mothers had a low Apgar, birth weight below 2 kgs and greater NICU admission. The perinatal deaths were more in group A (16% vs 2%) and the difference was statistically significant.Conclusions: The expectant management protocol was concluded to be a better mode of management protocol in patients with placenta praevia, who are either asymptomatic or with mild to moderate bleeding.

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Placenta Previa

Cited by 47 publications

References 0 publications

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

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

Study of antepartum haemorrhage and its maternal and perinatal outcome

Comparison of active versus expectant management on fetomaternal outcome in patients with placenta previa

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