Artunç Ülkümen, B Celal Bayar Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Pala, HG Celal Bayar Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Aktenk, F Celal Bayar Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Bülbül Baytur, Y Celal Bayar Üniversitesi - Tıp Fakültesi - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey

Pregnancy outcomes in patients with placenta previa

14852

Aim: To evaluate the maternal demographic features, perinatal outcomes and obstetric complications in cases of placenta previa.Materials and Methods: The data of 69 women with placenta previa followed up in our clinic between January 2009 and June 2013 were evaluated restrospectively through file records. Maternal mean age, gravidity, parity, gestational weeks, mode of delivery, birth weight, apgar scores, gestational diabetes (GDM), pregestational diabetes, polihydramnios, oligohydramnios, intrauterine growth restriction (IUGR), need of transfusion, the frequency of antenatal vaginal bleeding, peripartum hysterectomy need, placental invasion findings, in utero mort fetalis (IUMF) and neonatal mortality were all evaluated. In addition, obstetric history and the number of prior cesarean deliveries were evaluated.Results: The mean age, gravida and parity were 32.19±4.58 (22-40 years), 2.29±1.55, and 0.96±1.18 respectively. The mean gestational week was 30.99±6.96. 22 cases (31.9%) had prior cesarean delivery. The mean birth weight was 2854.38±815.72 g (500 g-4300 g), apgar scores at 1 and 5 minutes were 9.30±1.57 and 9.70±0.95 respectively. Four cases had placental invasion findings and 5 cases needed peripartum hysterectomy.Conclusion: Placenta previa still remains an important cause of maternal and neonatal morbidity and mortality. Prior cesarean operations, grandmultiparity, uterin anomalies, advanced maternal age are well-known risk factors. With respect to Turkey, especially in peripheric hospitals, attention should be directed to the cesarean indications and preventive measures should be taken immediately following known pregnancy for women with low compliance and those who have poor antenatal surveillance.

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Placenta previa , obstetric risk factors , prior cesarean history , perinatal outcomes

Ege Journal Of Medicine

91