不同类型前置胎盘妊娠结局的临床研究

Krupa Bm
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引用次数: 2

摘要

背景:前置胎盘是产科最可怕的并发症之一,因其与母体和围产儿的不良结局有关。目的:评价前置胎盘患者的母胎结局。方法:于2013年8月至2019年8月在医院开展回顾性临床研究。结果:术前胎盘的发生率为0.48%。最多的患者是年龄在25-35岁之间的多胎孕妇。分娩时平均胎龄在34-36周之间。分娩方式几乎全部为剖腹产(97.4%)。需输血者占43.6%,产后出血者占43.6%,附着性前置胎盘者占20.5%,子宫切除术者占15.4%,住院者占15.4%,围产儿结局无明显影响。结论:有剖宫产史及多胎妇女前置胎盘发生率高。需要全面的产科护理,以适当地治疗前置胎盘及其并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pregnancy Outcomes in various Types of Placenta Previa: A Clinical Study
Background: Placenta previa is one of the dreaded complications in obstetrics due to its associated adverse maternal and perinatal outcome. Aim: To evaluate maternal and fetal outcomes in women with placenta previa. Methods: A hospital based retrospective clinical study carried out Obstetrics Gynaecology from 2013 August 2019. Results: The incidence of placenta previa was found to be 0.48%. Maximum patients were referred within the age group of 25-35 years and were multigravida. Mean gestational age at delivery was between 34-36 weeks. Mode of delivery was caesarean section in almost all cases (97.4%). Outcome was studied by need of blood transfusion in 43.6%, postpartum haemorrhage in 43.6%, adherent placenta previa in 20.5%, hysterectomy in 15.4%, ICU admission in 15.4% and no significant effect on perinatal outcome. Conclusion: Incidence of placenta previa is high in patients with previous cesarean section and multiparous women. There is a need for comprehensive obstetrics care to appropriately treat placenta previa and its complications.
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