To study second trimester placental location as a predictor of adverse pregnancy outcome

Authors

  • Neetu Singh Department of Obstetrics and Gynecology, GSVM Medical College, Kanpur, India
  • Renu Gupta Department of Obstetrics and Gynecology, GSVM Medical College, Kanpur, India
  • Kiran Pandey Department of Obstetrics and Gynecology, GSVM Medical College, Kanpur, India
  • Neena Gupta Department of Obstetrics and Gynecology, GSVM Medical College, Kanpur, India
  • Ani Chandanan Department of Obstetrics and Gynecology, GSVM Medical College, Kanpur, India
  • Priya Singh Department of Obstetrics and Gynecology, GSVM Medical College, Kanpur, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161296

Keywords:

Placenta, Preeclampsia, Preterm, IUGR, Still birth

Abstract

Background: Pregnancy and childbirth is universally celebrated as an event. It can also be one of experiences of misery and suffering when complications or adverse circumstances comprise the pregnancy, causing morbidity or even mortality. To study second trimester placental localization as a predictor of adverse pregnancy outcome.

Methods: The study was conducted in Upper India Sugar Exchange Maternity Hospital, GSVM Medical College, Kanpur, India from January 2014 to July 2015 on 592 pregnant women between 18-24 week over a period of 16 months.

Results: This study shows that lateral placental location was associated with increased incidence of preeclampsia, intrauterine growth restriction and posterior placental location associated with preterm labour and stillbirth.

Conclusions: Placental localization by ultrasound in pregnant women during 18-24 week of gestation can be used as easy, non-invasive, cost-effective tool as a predictor of adverse pregnancy outcome.

References

Hadley CB, Main DM, Gabbe SG. Risk factors for premature rupture of the fetal membranes. Am J Perinatol. 1990;7:374-9.

Kalanithi LE, Illuzzi JL, Nossov VB, Frisbaek Y, Abdel-Razeq S, Copel JA, et al. Intrauterine growth restriction and placental location. J Ultrasound Med. 2007;26:1481-9.

Hoogland HJ, de Haan J. Ultrasonographic placental localization with respect to fetal position in utero. Eur JObstetGynecolReprodBiol. 1980;11:9-15.

Magann EF, Doherty DA, Turner K, Lanneau GS, Jr, Morrison JC, Newnham JP. Second trimester placental location as a predictor of an adverse pregnancy outcome. JPerinatol. 2007;27:914.

Walker JJ. Current thoughts on the pathophysiology of preeclampsia/eclampsia. 1998.

Fleischer A, Schulman H, Farmakides G, et al. Uterine artery Doppler velocimetry in pregnant women with hypertension. AM. J Obstet Gynaecol. 1986;154:806-13.

Khong TY, De Wolf F, Robertson WB, Brosens I. Inadequate maternal vascular response to placentation in pregnancies complicated by pre-eclampsia and by small-for-gestational age infants. Br J Obstet Gynaecol. 1986;93:1049-59.

Schulman H, Winter D, Farmakides G et al. Pregnancy surveillance with Doppler velocimetry of uterine and umbilical arteries. AM J Obstet Gynaecol. 1989;160:192-6.

Kofinas AD, Penry M, Swain M, Hatjis CG. Effect of placental laterality on uterine artery resistance anddevelopment of preeclampsia and intrauterine growth retardation. AM.J Obstet Gynecol. 1989;161:153-69.

Bhalerao AV, Kulkarni S, Somalwa S. Lateral placentation by USG: A simple predictor of PET: J South Asian Obs Gynae. 2013;5(2):68-71.

Gonser M, Tillack N, Pfeiffer KH, Mielke G. Placental location and incidence of preeclampsia. Ultraschall Med. 1996;17:236-8.

Warland J, McCutcheon H, Baghurst P. Placental position and late stillbirth : a case control study. J Clin Nurs. 2009;18(11):1602-6.

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Published

2017-01-04

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Original Research Articles