Studying risk factors, maternal and neonatal outcomes in singleton pregnancies complicated by placenta previa | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Article 4, Volume 19, Issue 2 - Serial Number 11106352, June 2015, Pages 24-29 PDF (1.95 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2015.257681 | ||
| Author | ||
| hend shalaby | ||
| Mansoura University,obstetrics and gynecology dep | ||
| Abstract | ||
| Objective: To quantify risk factors and feto-maternal outcomes in women with singleton pregnancies complicated by placenta previa (PP). Methods:Acase-control study comparing 157 women with singleton pregnancies complicated by PP to a similar group without PP. The study was conducted from January 2013 through March 2015 at Mansoura University Hospitals, Egypt. Multiple logistic regression models were used to control for confounders. Results:Multivariate analysis indicated risk factors associated with PP were: maternal age ≥ 30 years (OR=3.183, P= 0.004), parity ≥ 3 (OR=2.6, P=0.016), prior caesarean deliveries ≥ 2 (OR=10.2, P=<0.001), previous PP (OR=5.069, P=0.029) and previous uterine evacuation (OR=2.843, p=0.023). Women with PP had increased risk of massive obstetrics hemorrhage, emergency hysterectomy, admission to ICUand maternal deaths. There was also increased risk to antepartum, intra-partum, and postpartum blood transfusion, maternal sepsis, longer hospital stay. Also infants of cases showed higher rates of perinatal mortality (4.5 vs. 0.6%; P< 0.001), prematurity (23.4 vs. 1%, p < 0.001) and admission to NICU (14 vs. 1.9%, p=0.001). Conclusions: Increasing maternal age, high parity, previous PP, previous evacuation and prior caesarean delivery were independent risk factors for PP. Adverse maternal and perinatal outcomes were also increased significantly. | ||
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