Assessment of Placental Thickness in Cases with Placenta Previa as Marker for Intra and Postpartum Bleeding | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 184, Volume 94, Issue 1, January 2024, Page 1254-1262 PDF (538.9 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2024.348103 | ||||
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| Abstract | ||||
| Background: Evaluating the relationship between placental thickness and placenta accreta spectrum (PAS) disorder in placenta previa was highlighted as a primary area of interest because the prediction of abnormally invasive placentation in patients with placenta previa represents significant conflict and is frequently linked to intraoperative blood loss and blood transfusion. Objective: This study aimed to assess the clinical value of placental thickness as a marker for intra and postpartum bleeding in cases of placenta previa. Thus, to serve as a guideline for enhancing the clinical outcomes of expectant mothers and their babies while lowering the frequency of unfavourable pregnancy-related occurrences. Patients and methods: This prospective study was conducted at Tertiary Care Hospital, Ain Shams University Hospitals through the period from September 2022 to March 2023. The study included seventy-five pregnant women with placenta previa. 75 women were enrolled in the trial after 100 patients had their eligibility evaluated. Out of all eligible patients, 10 patients declined to take part in the trial, and 15 patients were excluded from the study due to inclusion requirements. In the end, the investigation relied on information from 75 placenta previa pregnant women. Results: As regards the hemoglobin changes and blood loss, our study results revealed that pre-operative hemoglobin level (gm/dL) and post-operative hemoglobin level (gm/dL) were 11.4 ± 0.9 and 9.8 ± 1.1 respectively with postoperative hemoglobin drop (gm/dL) of 1.7 ± 0.41 and the blood loss (ml) was 867.3 ± 441.9. The Need to blood transfusion was in 54.7% of the studied cases. The number of transfused units of packed RBCs was one unit. Conclusion: It is feasible to measure placental thickness in a straightforward manner. Consequently, it can be utilised as a screening test for placenta previa patients, especially those who had a Caesarean section (CS) in the past and had a very poor diagnostic performance in terms of anticipating blood loss and the need for blood transfusions. | ||||
| Keywords | ||||
| Placental thickness; Placenta previa; Operative bleeding | ||||
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