Impact of placenta previa on obstetric outcome

Daskalakis, G; Simou, M; Zacharakis, D; Detorakis, S; Akrivos, N; Papantoniou, N; Fouskakis, D; Antsaklis, A

dc.contributor.author	Daskalakis, G	en
dc.contributor.author	Simou, M	en
dc.contributor.author	Zacharakis, D	en
dc.contributor.author	Detorakis, S	en
dc.contributor.author	Akrivos, N	en
dc.contributor.author	Papantoniou, N	en
dc.contributor.author	Fouskakis, D	en
dc.contributor.author	Antsaklis, A	en
dc.date.accessioned	2014-03-01T01:35:50Z
dc.date.available	2014-03-01T01:35:50Z
dc.date.issued	2011	en
dc.identifier.issn	0020-7292	en
dc.identifier.uri	https://dspace.lib.ntua.gr/xmlui/handle/123456789/21210
dc.subject	Cesarean delivery	en
dc.subject	Obstetric hysterectomy	en
dc.subject	Outcome	en
dc.subject	Placenta previa	en
dc.subject.classification	Obstetrics & Gynecology	en
dc.subject.other	abortion	en
dc.subject.other	adult	en
dc.subject.other	Apgar score	en
dc.subject.other	article	en
dc.subject.other	birth weight	en
dc.subject.other	cesarean section	en
dc.subject.other	complete placenta previa	en
dc.subject.other	female	en
dc.subject.other	gestational age	en
dc.subject.other	human	en
dc.subject.other	hysterectomy	en
dc.subject.other	incomplete placenta previa	en
dc.subject.other	low lying placenta previa	en
dc.subject.other	major clinical study	en
dc.subject.other	male	en
dc.subject.other	marginal placenta previa	en
dc.subject.other	maternal age	en
dc.subject.other	newborn	en
dc.subject.other	outcome assessment	en
dc.subject.other	parity	en
dc.subject.other	placenta previa	en
dc.subject.other	pregnancy outcome	en
dc.subject.other	pregnant woman	en
dc.subject.other	priority journal	en
dc.subject.other	retrospective study	en
dc.subject.other	survival rate	en
dc.subject.other	vaginal delivery	en
dc.subject.other	Adult	en
dc.subject.other	Apgar Score	en
dc.subject.other	Delivery, Obstetric	en
dc.subject.other	Female	en
dc.subject.other	Greece	en
dc.subject.other	Humans	en
dc.subject.other	Hysterectomy	en
dc.subject.other	Infant, Newborn	en
dc.subject.other	Logistic Models	en
dc.subject.other	Placenta Previa	en
dc.subject.other	Pregnancy	en
dc.subject.other	Prognosis	en
dc.subject.other	Retrospective Studies	en
dc.subject.other	Young Adult	en
dc.title	Impact of placenta previa on obstetric outcome	en
heal.type	journalArticle	en
heal.identifier.primary	10.1016/j.ijgo.2011.03.012	en
heal.identifier.secondary	http://dx.doi.org/10.1016/j.ijgo.2011.03.012	en
heal.language	English	en
heal.publicationDate	2011	en
heal.abstract	Objective: To determine the maternal and perinatal outcome for different types of placenta previa (PP). Methods: A retrospective review of 132 singleton pregnancies with PP. Outcome measures, including the incidence of obstetric hysterectomy, the neonatal Apgar score, and the neonatal weight, were evaluated by logistic regression analysis. Results: The incidence of PP was 1.0%. Of the women with PP, 51.5% had complete PP, 20.5% had incomplete PP, 5.3% had marginal PP, and 22.7% had a low-lying placenta. Most (93.9%) women were delivered by cesarean delivery. In total, 19.7% women underwent obstetric hysterectomy; of these, 92.3% had complete PP. Mothers with 2 or more previous cesarean deliveries had an increased risk for obstetric hysterectomy (P < 0.01). The gestational age at delivery was a significant linear predictor of the 5-minute Apgar score. Mothers with incomplete PP delivered neonates with lower Apgar scores than did mothers with complete PP. Conclusion: A history of multiple cesarean deliveries increased the risk for obstetric hysterectomy in women with PP. The type of PP had no effect on maternal and neonatal outcome, with exception of the fact that neonates in the incomplete PP group had lower Apgar scores than neonates in the complete PP group. © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.	en
heal.publisher	ELSEVIER IRELAND LTD	en
heal.journalName	International Journal of Gynecology and Obstetrics	en
dc.identifier.doi	10.1016/j.ijgo.2011.03.012	en
dc.identifier.isi	ISI:000294397400010	en
dc.identifier.volume	114	en
dc.identifier.issue	3	en
dc.identifier.spage	238	en
dc.identifier.epage	241	en