L Tuzovic1. 1. Department of Obstetrics and Gynecology, Medical School University of Zagreb, Croatia. ltuzovic@vip.hr
Abstract
OBJECTIVE: To compare obstetric outcome in women with complete versus incomplete placenta previa (PP). METHODS: A 10-year retrospective case-control study was conducted between 1992 and 2001. A 202 singleton pregnancies with PP were analyzed. RESULTS: The incidence of PP was 0.4%. Complete PP comprised 32.7% and incomplete PP 67.3% of cases. No difference was observed in the frequency of antepartum hemorrhage. Women with complete PP had significantly higher requirement for antepartum and postpartum transfusions, higher frequency of postpartum hemorrhage and postpartum hysterectomy. The risk for placenta accreta was increased in complete PP group even after controlling for confounding factors (adjusted OR=3.75, 95% CI=1.11-12.68, p<0.05). No difference in the frequency of preterm delivery was found between the groups. Term infants of mothers with complete PP had significantly lower birth weight (3205 vs. 3360, p=0.04). CONCLUSION: Complete PP is a high-risk subgroup of PP associated with higher maternal morbidity in comparison to incomplete PP.
OBJECTIVE: To compare obstetric outcome in women with complete versus incomplete placenta previa (PP). METHODS: A 10-year retrospective case-control study was conducted between 1992 and 2001. A 202 singleton pregnancies with PP were analyzed. RESULTS: The incidence of PP was 0.4%. Complete PP comprised 32.7% and incomplete PP 67.3% of cases. No difference was observed in the frequency of antepartum hemorrhage. Women with complete PP had significantly higher requirement for antepartum and postpartum transfusions, higher frequency of postpartum hemorrhage and postpartum hysterectomy. The risk for placenta accreta was increased in complete PP group even after controlling for confounding factors (adjusted OR=3.75, 95% CI=1.11-12.68, p<0.05). No difference in the frequency of preterm delivery was found between the groups. Term infants of mothers with complete PP had significantly lower birth weight (3205 vs. 3360, p=0.04). CONCLUSION: Complete PP is a high-risk subgroup of PP associated with higher maternal morbidity in comparison to incomplete PP.
Authors: Ipek Gurol-Urganci; David A Cromwell; Leroy C Edozien; Gordon C S Smith; Chidimma Onwere; Tahir A Mahmood; Allan Templeton; Jan H van der Meulen Journal: BMC Pregnancy Childbirth Date: 2011-11-21 Impact factor: 3.007
Authors: Dong Gyu Jang; Ji Sun We; Jae Un Shin; Yun Jin Choi; Hyun Sun Ko; In Yang Park; Jong Chul Shin Journal: Int J Med Sci Date: 2011-07-23 Impact factor: 3.738
Authors: Abdul Ghani Nur Azurah; Zakaria Wan Zainol; Pei Shan Lim; Mohd Nasir Shafiee; Nirmala Kampan; Wan Syahirah Mohsin; Norfilza Mohd Mokhtar; Muhammad Abdul Jamil Muhammad Yassin Journal: ScientificWorldJournal Date: 2014-11-12