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TheScientificWorldJournal 2014To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas.
AIM
To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas.
METHOD
A retrospective cohort study was conducted in women who underwent caesarean section for major placenta praevia in a tertiary university hospital from January 2007 till December 2013. Medical records were reviewed.
RESULT
Among 243 with major placenta praevia, 56 (23.0%) were primigravidas and 187 (77.0%) were nonprimigravidas. Factors associated with placenta praevia in the primigravidas were history of assisted conception (P = 0.02) and history of endometriosis (P = 0.01). For maternal outcomes, the nonprimigravidas required earlier delivery than primigravidas (35.76 ± 2.54 weeks versus 36.52 ± 1.95 weeks, P = 0.03) and had greater blood loss (P = 0.04). A vast majority of the primigravidas had either posterior type II or type III placenta praevia. As for neonatal outcomes, the Apgar score at 1 minute was significantly lower for the nonprimigravidas (7.89 ± 1.72 versus 8.39 ± 1.288.39 ± 1.28, P = 0.02).
CONCLUSION
This study highlighted that endometriosis and assisted conception were highly associated with placenta praevia in primigravida. Understanding the pregnancy outcomes of women with placenta praevia can assist clinicians in identifying patients who are at higher risk of mortality and morbidity. Identifying potential risk factors in primigravida may assist in counseling and management of such patients.
Topics: Adult; Cesarean Section; Cohort Studies; Female; Gravidity; Humans; Placenta Previa; Pregnancy; Pregnancy Outcome; Risk Factors
PubMed: 25478587
DOI: 10.1155/2014/270120 -
Annali Italiani Di Chirurgia May 2021Placenta praevia is a condition when placenta is inserted in an abnormal position near or over the internal cervical orifice (ICO). Abnormal placental attachment...
Placenta praevia is a condition when placenta is inserted in an abnormal position near or over the internal cervical orifice (ICO). Abnormal placental attachment (placenta accreta, increta, percreta) is a wide spectrum disorder ranging from abnormal adherence to deeply invasive placental tissue. We report a very rare case of central placenta praevia accreta and focal bladder percretism in a 29 years old pregnant woman with an obstetrical history of one previous vaginal delivery and four curettages following miscarriage. She was taken in charge by Catania S. Marco' university-hospital at 20 weeks with diagnosis of Central Placenta Praevia and Accreta (CPPA) detected by means of ultrasounds (US). At 31 weeks Magnetic Resonance Imaging (MRI) confirmed CPPA with focal bladder percretism. After alerting multidisciplinary team and obtaining blood units available, a Caesarean Section (CS) at 34 weeks was planned, when by means of US a detachment area with bleeding was observed. An adequate informed consent was completed, where the pregnant woman and her husband accepted the risk of possible hysterectomy and blood transfusions. A Pfannestiel's laparotomy with transversal corporal uterine incision, bilateral uterine ligation, packed tamponage, removal of placental tissue separated during fetal extraction and leaving a portion of placenta only in the place of percretism, allowed conservative intervention (uterus preservation) ending in good results for both mother and fetus. KEY WORDS: Caesarean section, Curettage, Placenta praevia, Placenta accreta, Preterm birth.
Topics: Adult; Cesarean Section; Conservative Treatment; Curettage; Female; Humans; Hysterectomy; Infant, Newborn; Magnetic Resonance Imaging; Placenta Accreta; Placenta Previa; Pregnancy; Pregnancy Outcome; Premature Birth; Urinary Bladder
PubMed: 33994388
DOI: No ID Found -
The South Dakota Journal of Medicine... Mar 1952
Topics: Female; Humans; Placenta Previa; Pregnancy; X-Rays
PubMed: 14913276
DOI: No ID Found -
The Southern Surgeon Dec 1948
Topics: Female; Humans; Placenta; Placenta Previa; Pregnancy
PubMed: 18102780
DOI: No ID Found -
The Australian & New Zealand Journal of... Aug 2022Placenta accreta spectrum (PAS) causes severe maternal morbidity and mortality. Antenatal diagnosis can optimise maternal outcomes and reduce the risk of complications....
BACKGROUND
Placenta accreta spectrum (PAS) causes severe maternal morbidity and mortality. Antenatal diagnosis can optimise maternal outcomes and reduce the risk of complications. PAS cases where the placenta is not low lying are suggested to be more difficult to diagnose antenatally and are potentially associated with different outcomes.
AIM
The aim was to compare factors associated with births in PAS pregnancies with and without placenta praevia at a single tertiary centre over 15 years.
MATERIALS AND METHODS
A retrospective review of all births complicated by PAS was conducted from a site-specific database. Cases with and without a placenta praevia were analysed to compare differences in maternal risk factors, outcomes and histological diagnosis.
RESULTS
Between June 2006 and July 2020 there were 134 cases of PAS, 106 with placenta praevia. Cases without praevia were less likely to have a history of previous caesarean section and to be admitted for delivery planning or with antepartum haemorrhage. A higher proportion of cases without praevia were delivered at term, with no overall difference in emergency or elective deliveries. There was a significantly lower rate of hysterectomy in the non-praevia group. The overall estimated blood loss was significantly lower in those without praevia.
CONCLUSION
Suspected PAS without placenta praevia is at lower risk of hysterectomy and massive blood loss. The management approach can be tailored accordingly, with good operative outcomes with transverse abdominal and uterine incisions. Antenatal diagnosis can be difficult to accurately predict the degree of invasion, and a higher level of suspicion is required.
Topics: Cesarean Section; Female; Humans; Hysterectomy; Placenta Accreta; Placenta Previa; Postpartum Hemorrhage; Pregnancy; Retrospective Studies
PubMed: 35188274
DOI: 10.1111/ajo.13491 -
Obstetrics and Gynecology Aug 1959
Topics: Data Collection; Female; Hospitals, General; Humans; Placenta Previa; Pregnancy
PubMed: 13674649
DOI: No ID Found -
American Journal of Obstetrics and... Aug 1956
Topics: Biometry; Female; Hospitals; Humans; Placenta Previa; Pregnancy
PubMed: 13339859
DOI: No ID Found -
Obstetrics and Gynecology Oct 1961
Topics: Angiography; Female; Humans; Placenta Previa; Pregnancy; Radiography, Abdominal; Vulva
PubMed: 13691737
DOI: No ID Found -
Obstetrics and Gynecology Apr 1956
Topics: Female; Humans; Placenta; Placenta Previa; Pregnancy
PubMed: 13309910
DOI: No ID Found -
Surgery, Gynecology & Obstetrics May 1954
Topics: Cesarean Section; Female; Humans; Placenta Previa; Pregnancy
PubMed: 13156920
DOI: No ID Found