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- Title
Fetal Outcomes in Neonates Born to Women with Major Degree Placenta Previa At Zagazig University Hospitals: Cohort study.
- Authors
Abdelwhab, Safinaz Reda Mahmoud; Ali, Ali El-Shabrawy; Ahmed, Mostafa Abdo; Hamed, Basem Mohamed
- Abstract
Background: Placenta previa is the most co mmon cause of postpartum hemorrhage, which is associated with either maternal or fetal morbidity and mortality. Placenta previa is considered as a major risk factor for perinatal adverse events. Aim of the study: we aimed to evaluate the fetal outcomes among pregnant women with major degree placenta previa at Zagazig University Hospitals. Materials and Methods: An observational cohort study has been held at the High-Risk Pregnancy Unit at Zagazig University Hospitals, Egypt, from January 2019 to June 2019. A total of 80 pregnant women diagnosed with placenta previa (either with placenta accreta or not) after 20 weeks of pregnancy. All analyses were conducted using IBM SPSS software package version 20.0. Results: Eighty pregnant women were included in our study. The mean age was 32.3 (5.01) years, while the mean gestational age was 36.2 (2.03) weeks. Central placenta previa was detected in most of the included patients (52.5%), while placenta accrete was reported in 39 women (48.8%). Fiftysix women had a completely covered internal cervical os. Most of the neonates (70%) were males with a mean birth weight of 2912.5 (490) gm and a good APGAR score (85.0%). Thirteen neonates had Jaundice, and 17 neonates required neonatal intensive care unit admission. Only five neonates (6.3%) died. Placenta previa centralis was associated with a higher incidence rate of bad APGAR score, admission to neonatal intensive care unit, stillbirth, and neonatal morbidity; however, we detected no statistically significant difference among the three types of placenta previa regarding all fetal outcomes and complications (all P0.05). Conclusions: Placenta previa should be considered as a marker for possible obstetric complications, and a careful evaluation with timely delivery to reduce the associated complications should be considered as well as developing a prenatal screening protocol.
- Subjects
POSTPARTUM hemorrhage; PLACENTA diseases; MATERNAL mortality; PRENATAL diagnosis; UNIVERSITY hospitals
- Publication
Zagazig University Medical Journal, 2022, Vol 28, p52
- ISSN
1110-1431
- Publication type
Article
- DOI
10.21608/zumj.2020.23145.1721