Pregnancy Outcomes of Placenta Previa in Primigravidas
1 Department of Obstetrics and Gynecology, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand
Affiliation :
Dennopporn Sudjai MD1
Objective : To compare the pregnancy outcomes of placenta previa [PP] between primigravidas and multiparae women.
Materials and Methods : A retrospective cohort study was conducted in 335 pregnant women who delivered by cesarean section
[CS] due to PP in Rajavithi Hospital between January 2010 and April 2017. The study group (n = 97) were the women with PP
in primigravidas while the control group (n = 238) comprised of multiparae. Pregnancy outcomes between the two groups were
compared regarding: gestational age [GA] at delivery, antepartum hemorrhage, maternal readmission, CS status, operative blood
loss, postpartum hemorrhage [PPH], peripartum hysterectomy, blood transfusion, placenta accreta, preterm delivery, infant birth
weight, intrauterine growth restriction [IUGR], Apgar score at 1 and 5 minutes, birth asphyxia, neonatal intensive care unit [NICU]
admission, maternal and neonatal mortality.
Results : The primigravidas women had signi(cid:976)icantly less operative blood loss and PPH than the multiparae. The rates of placenta
accreta and peripartum hysterectomy were signi(cid:976)icantly higher in the multiparae than the primigravidas. Neonatal outcomes were
not statistically different between the groups.
Conclusion : PP in primigravidas have better maternal outcomes in term of operative blood loss and PPH. These (cid:976)indings may assist
the clinicians in counselling and managing the pregnant women with PP.
Keywords : Primigravida, Placenta previa, Intraoperative blood loss
All Articles
Download