Maternal outcomes in pregnant women with pernicious placenta previa / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
; (6): 253-257, 2015.
Article
en Zh
| WPRIM
| ID: wpr-255202
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the maternal outcomes of pregnant women with pernicious placenta previa (PPP).</p><p><b>METHODS</b>Clinical data of 470 patients with placenta previa admitted in Women's Hospital Zhejiang University School of Medicine from August 2012 to August 2014 were collected and retrospectively analyzed. The patients were divided into pernicious group(n=101) and non-pernicious group(n=369) according to the history of cesarean section and location of placenta attached to the uterine. The general profiles, maternal outcomes of two groups were compared.</p><p><b>RESULTS</b>The age, gravidity and rate of recurrent cavity surgery of pernicious group [(32.5 ± 4.1) y, 3.4 ± 1.2, 28.7%] were higher than those of non-pernicious group [(30.7 ± 4.5) y, 2.1 ± 1.4,13.6%] (P<0.05). The gestational age of pernicious group was (35.6 ± 2.7) weeks, less than that of non-pernicious group [(36.7 ± 2.7) weeks, P<0.001]. Rate of postpartum massive hemorrhage, rate of blood transfusion, rate of placental implantation and hysterectomy in pernicious and non-pernicious group were 29.7%, 35.6%, 27.7%, 11.9% and 8.1%, 10.8%, 5.7%, 0.8%, respectively (P<0.05). Multiple regression analysis showed that placenta accrete was significantly associated with postpartum massive hemorrhage in pernicious group (P<0.05).</p><p><b>CONCLUSION</b>The awareness of the danger of pregnant women with PPP before operation and paying more attention to antenatal care are key measures to decrease the adverse maternal outcomes of pregnant women with placenta previa.</p>
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Patología
/
Placenta Previa
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Resultado del Embarazo
/
Cesárea
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Epidemiología
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Estudios Retrospectivos
/
Factores de Riesgo
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Edad Gestacional
/
Hemorragia Posparto
Tipo de estudio:
Etiology_studies
/
Observational_studies
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Risk_factors_studies
Límite:
Adult
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Female
/
Humans
/
Pregnancy
Idioma:
Zh
Revista:
Journal of Zhejiang University. Medical sciences
Año:
2015
Tipo del documento:
Article