Maternal Outcomes in Women with Major Degree Placenta Previa: An Observational Cohort Study

Current Womens Health Reviews Pub Date : 2020-12-30 DOI:10.2174/1573404817999201230234519

Safinaz Reda Mahmoud Abdelwhab, Ali El-shabrawy Ali, M. Ahmed, B. Hamed

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Abstract

We aimed to evaluate the maternal outcomes among pregnant women with major degree placenta previa. We conducted an observational cohort study on 80 pregnant women diagnosed with major placenta previa (grades III and IV where the placenta partially or completely cover the internal cervical os) after 20 weeks of pregnancy, within the period from January 2019 to June 2019. The diagnosis of placenta previa was made by ultrasound and confirmed at the time of delivery. The study participants were divided into three groups based on the placental location (Anterior, Central, and Posterior). All analyses were conducted using IBM SPSS software package version 20.0. Eighty pregnant women, with a mean age of 32.3 (5.01) years and a mean gestational age of 36.2 (2.03) weeks, were included in our study. Of them, 56.30% had a previous abortion, and previous Cs delivery was reported in 75%. Most of the placenta previa cases were central (52.5%), with a completely covered internal cervical os (70%). Thirty-nine patients (48.8%) had placenta accreta. Blood transfusion, postpartum hemorrhage, and anemia were noted with a percentage of 75%, 32.5%, and 32.5%, respectively. Around 28.8% of the included patients had a hysterectomy. Before and after delivery, nine patients (21.4%) and 15 patients (35.7%) of the placenta previa centralis group had anemia, respectively. Moreover, there was no statistically significant difference between the three studies groups in terms of anemia before and after delivery (P= 0.41 and P= 0.78. respectively). Placenta previa centralis showed a higher incidence of CS hysterectomy (45.2%) while wound infection was higher in anterior placenta previa (18.2%). As a predictor of possible obstetric adverse events, placenta previa should be considered. A combination of proper clinical assessment and timely delivery to reduce the associated complications should be considered as well as developing a prenatal screening protocol.

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重度前置胎盘妇女的产妇结局:一项观察性队列研究

我们的目的是评估重度胎盘preprevia孕妇的产妇结局。我们在2019年1月至2019年6月期间对80名怀孕20周后被诊断为重度前置胎盘(III级和IV级，胎盘部分或完全覆盖宫颈内腔)的孕妇进行了一项观察性队列研究。产前超声诊断为前置胎盘，分娩时确诊。研究参与者根据胎盘位置分为三组(前、中、后)。所有分析均采用IBM SPSS软件包20.0版进行。80例平均年龄32.3(5.01)岁，平均胎龄36.2(2.03)周的孕妇被纳入我们的研究。其中56.30%有流产史，75%有Cs分娩史。大多数前置胎盘位于中央(52.5%)，完全覆盖的颈内腔(70%)。合并胎盘39例(48.8%)。输血、产后出血、贫血发生率分别为75%、32.5%、32.5%。约28.8%的患者接受了子宫切除术。产前和产后，前置胎盘组分别有9例(21.4%)和15例(35.7%)出现贫血。此外，三个研究组在产前和产后贫血方面差异无统计学意义(P= 0.41和P= 0.78)。分别)。中央前置胎盘的CS子宫切除术发生率较高(45.2%)，而前前置胎盘的伤口感染发生率较高(18.2%)。作为可能的产科不良事件的预测因子，前置胎盘应予以考虑。应考虑结合适当的临床评估和及时分娩以减少相关并发症，并制定产前筛查方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Current Womens Health Reviews

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