A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa
Introduction: Placenta previa is a common cause of third-trimester hemorrhage. This complication is associated with feto-maternal complications and requires special care since it results in high-risk pregnancy. The site of placental implantation can affect the feto-maternal outcomes, such as postpar...
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| Format: | Article |
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Mashhad University of Medical Sciences
2018-02-01
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| Series: | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
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| Online Access: | https://ijogi.mums.ac.ir/article_10426_5d5b1f573648ccd2c227dc44588a7854.pdf |
| _version_ | 1811223642460127232 |
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| author | Anisodowleh Nankali Maryam Hematti Shohreh Dezhangah |
| author_facet | Anisodowleh Nankali Maryam Hematti Shohreh Dezhangah |
| author_sort | Anisodowleh Nankali |
| collection | DOAJ |
| description | Introduction: Placenta previa is a common cause of third-trimester hemorrhage. This complication is associated with feto-maternal complications and requires special care since it results in high-risk pregnancy. The site of placental implantation can affect the feto-maternal outcomes, such as postpartum hemorrhage, need for blood transfusion, and cesarean hysterectomy, in the females with placenta previa. Regarding this, the aim of the present study was to compare the feto-maternal outcomes of placenta previa between the pregnant women with anterior placenta previa and those with posterior placenta previa.
Materials and Methods:This descriptive-analytic study was conducted on 54 patients undergoing pregnancy termination due to placenta previa diagnosed based on ultrasound evidence at Imam Reza Hospital affiliated to Kermanshah University of Medical Sciences, Kermanshah, Iran, within 2008-2014. The maternal and fetal variables were extracted from the patients' medical records by means of a checklist. Data analysis was performed in SPSS (version 20) using Chi-square test, and independent t-test, Mann Whitney U test, and Fisher's exact test. P-value less than 0.05 was considered statistically significant.
Results: The abnormal adherence of placenta was more frequent in the females with anterior placenta previa than in those with posterior placenta previa. Furthermore, 12 (44.4%) and 5 (18.5%) out of 27 cases required hysterectomy in the anterior and posterior groups, respectively. Therefore, the two groups showed a significant difference in this regard (P=0.04). In addition, there was a significant difference between the two groups in terms of the need for blood transfusion (P=0.021). Accordingly, 13 (48.1%) and 5 (18.5%) patients needed blood transfusion in the anterior and posterior groups, respectively. However, no significant difference was observed between the two study groups considering the birth weight (P=0.949) and Apgar score (P=0.623).
Conclusion:As the findings of this study indicated, there was a significant difference between the women with anterior placenta previa and those with posterior placenta previa in terms of the need for hysterectomy and blood transfusion. Consequently, it is recommended to consider the location of placenta prior to the adoption of preoperative strategies for the patients with placenta previa. |
| first_indexed | 2024-04-12T08:36:17Z |
| format | Article |
| id | doaj.art-6a0bfe98cb8b4d18b83e9fb933ad46cf |
| institution | Directory Open Access Journal |
| issn | 1680-2993 2008-2363 |
| language | fas |
| last_indexed | 2024-04-12T08:36:17Z |
| publishDate | 2018-02-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān |
| spelling | doaj.art-6a0bfe98cb8b4d18b83e9fb933ad46cf2022-12-22T03:40:00ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632018-02-0120121810.22038/ijogi.2017.1042610426A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previaAnisodowleh Nankali0Maryam Hematti1Shohreh Dezhangah2Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranMSc in Statistics, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranMD, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.Introduction: Placenta previa is a common cause of third-trimester hemorrhage. This complication is associated with feto-maternal complications and requires special care since it results in high-risk pregnancy. The site of placental implantation can affect the feto-maternal outcomes, such as postpartum hemorrhage, need for blood transfusion, and cesarean hysterectomy, in the females with placenta previa. Regarding this, the aim of the present study was to compare the feto-maternal outcomes of placenta previa between the pregnant women with anterior placenta previa and those with posterior placenta previa. Materials and Methods:This descriptive-analytic study was conducted on 54 patients undergoing pregnancy termination due to placenta previa diagnosed based on ultrasound evidence at Imam Reza Hospital affiliated to Kermanshah University of Medical Sciences, Kermanshah, Iran, within 2008-2014. The maternal and fetal variables were extracted from the patients' medical records by means of a checklist. Data analysis was performed in SPSS (version 20) using Chi-square test, and independent t-test, Mann Whitney U test, and Fisher's exact test. P-value less than 0.05 was considered statistically significant. Results: The abnormal adherence of placenta was more frequent in the females with anterior placenta previa than in those with posterior placenta previa. Furthermore, 12 (44.4%) and 5 (18.5%) out of 27 cases required hysterectomy in the anterior and posterior groups, respectively. Therefore, the two groups showed a significant difference in this regard (P=0.04). In addition, there was a significant difference between the two groups in terms of the need for blood transfusion (P=0.021). Accordingly, 13 (48.1%) and 5 (18.5%) patients needed blood transfusion in the anterior and posterior groups, respectively. However, no significant difference was observed between the two study groups considering the birth weight (P=0.949) and Apgar score (P=0.623). Conclusion:As the findings of this study indicated, there was a significant difference between the women with anterior placenta previa and those with posterior placenta previa in terms of the need for hysterectomy and blood transfusion. Consequently, it is recommended to consider the location of placenta prior to the adoption of preoperative strategies for the patients with placenta previa.https://ijogi.mums.ac.ir/article_10426_5d5b1f573648ccd2c227dc44588a7854.pdfplacenta previaanterior and posterior placenta previamaternal outcome in placenta previa |
| spellingShingle | Anisodowleh Nankali Maryam Hematti Shohreh Dezhangah A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān placenta previa anterior and posterior placenta previa maternal outcome in placenta previa |
| title | A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa |
| title_full | A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa |
| title_fullStr | A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa |
| title_full_unstemmed | A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa |
| title_short | A comparative study of feto-maternal outcomes in women with anterior and posterior placenta previa |
| title_sort | comparative study of feto maternal outcomes in women with anterior and posterior placenta previa |
| topic | placenta previa anterior and posterior placenta previa maternal outcome in placenta previa |
| url | https://ijogi.mums.ac.ir/article_10426_5d5b1f573648ccd2c227dc44588a7854.pdf |
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