To study analyze maternal serum alpha-fetoprotein as a biomarker of placental adherence in low lying placenta

Authors

  • Pooja Verma Department of Obstetrics and Gynecology, Netaji Subhash Chandra Bose Medical College and Hospital, Jabalpur, Madhya Pradesh, India
  • Kavita N. Singh Department of Obstetrics and Gynecology, Netaji Subhash Chandra Bose Medical College and Hospital, Jabalpur, Madhya Pradesh, India
  • Vineeta Ghanghoriya Department of Obstetrics and Gynecology, Netaji Subhash Chandra Bose Medical College and Hospital, Jabalpur, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161698

Keywords:

Low lying placenta, Placental adherence, MSAFP

Abstract

Background: To study the place of Maternal Serum Alfa Feto Protein (MSAFP) as a biomarker of placental adherence in low lying placenta, and to study maternal outcome in the study group.

Methods: This is a prospective observational study analyzing the conditions and the data of 90 cases with low lying placenta in a tertiary care hospital. The analysis was done for the association of MSAFP with MRI, perinatal and maternal outcome.

Results: The level of MSAFP was found higher in 14 out of 15 cases (93.3%) of placenta previa with placental adherence. There was significant surgical intervention (80%) and increased maternal morbidity (68.8%) in the study group with placental adherence and raised MSAFP respectively.

Conclusions: MSAFP is an important biomarker for prognostication of placental adherence in low lying placenta.

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References

Martin JA, Hamilton B E, Sutton PD et al. Birth final data for 2003. National vital statistics report. 2005;54(2).

Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC, Hankins GDV, et al. Obstetrical hemorrhage. In: Williams Obstetrics, 20th ed. Appleton & Lange: Stamford. 1997:755-6.

Silver, Robert M, Landon Mark B. Maternal morbidity associated with multiple repeat cesarean delivery. Obstet Gynecol. 2006;107(6):1226-32.

Al-Serehi A, Mhoyan A, Brown M, Benirschke K, Hull A, Pretorius DH. Placenta accreta: an association with fibroids and Asherman syndrome. J Ultrasound Med. 2008;27:1623-8.

Hamar BD, Wolff EF, Kodaman PH, Marcovici I. Premature rupture of membranes, placenta increta, and hysterectomy in a pregnancy following endometrial ablation. J Perinatol. 2006;26:135-7.

Pron G, Mocarski E, Bennett J, Vilos G, Common A, Vanderburgh L. Pregnancy after uterine artery embolization for leiomyomata: the Ontario multicenter trial. Ontario UFE Collaborative Group. Obstet Gynecol. 2005;105:67-76.

Berkeley AS, Killackey MA, Cedarqvist LL. Elevated maternal serum alpha-fetoprotein levels associated with breakdown in fetal–maternal–placental barrier. Am J Obstet Gynecol. 1983;146:85.

Morssink LP, de Wolf BT, Kornman LH. The relation between serum markers in the second trimester and placental pathology: a study on extremely small for gestational age fetuses. BJOG. 1996;103:779-83.

Chandra S, Scott H, Dodds L, et al. elevated maternal serum α-fetoprotein and/or human chorionic gonadotropin and the risk of adverse outcomes. Am J Obstet Gynecol. 2003;189:775-81.

Zelop C, Nadel A, Frigoletto FD Jr. Placenta accreta/precreta/ increta: a cause of elevated maternal serum alpha-fetoprotein. Obstet Gynecol. 1992;80:693-4.

Kupferminc MJ, Tamura RK, Wigton TR. Placenta accreta is associated with elevated maternal serum alpha-fetoprotein. Obstet Gynecol. 1993;82:266-9.

Williams. Textbook of Obstetrics. F. Gary Cunningham. Chpt. 35 - Obstetrical Hemorrhage. 23rd edition United States of America. McGraw-Hill; 2010:769

Cleary-Goldman J. Impact of maternal age on obstetric outcome. Obstet Gynecol. 2005;105:983.

Babinszki A, Kerenyi T. Perinatal outcome in grand and great grand multiparity. Effects of parity on obstetric risk factors.Am J Obstet Gynecol. 1999;181:669.

Ananth CV, Demissie K, Smulian JC. Placentanprevia in singleton and twin births in the United States, 1989 through 1998. A comparison of risk factor profiles and associated conditions. Am J Obstet Gynecol. 2003a;188:275.

Lala ABH, Rutherford JM. Massive or recurrent ante partum haemorrhage. Current Obstetrics and Gynaecology. 2002;12:226-30.

Goetzinger KR, Odibo AO. Screening for abnormal placentation and adverse pregnancy outcomes with maternal serum biomarkers in the second trimester. John Wiley and sons ltd. 2014;10(1002):4370.

Mcduffie RS Harkness L, Mcvay RM. Mid trimester hemoperitoneum caused by placenta percreta in association with elevated MSAFP. American journal of obstetrics $ gynecology.1994;171(2):565-6.

Hung T, Shau W, Hsieh C, Chiu T. Risk factors for placenta accreta. Obstet Gynecol. 1999;93:545–50.

Oyelese Y, Smulian JC. Placenta Previa. Obstet Gynecol. 2006;10(4):927.

Gagnon A, Wilson RD, Audibert F. Obstetrical complications associated with abnormal maternal serum markers analytes. Journal of Obstetrics and Gynecology Canada. 2008;30(10):918-49.

Butler EL, Ronald MM. Association between Maternal Serum Alpha‐Fetoprotein and Adverse Outcomes in Pregnancies With Placenta Previa. Obstetrics and Gynecology. 2001;97(1):35-8.

Silver RM, Barbour KD. Plaenta Accreta Spectrum. Clinical Review articles. Obst and Gynecol. Clinics of North America. 2015;42(2):381-402.

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Published

2017-01-05

How to Cite

Verma, P., Singh, K. N., & Ghanghoriya, V. (2017). To study analyze maternal serum alpha-fetoprotein as a biomarker of placental adherence in low lying placenta. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(6), 1959–1963. https://doi.org/10.18203/2320-1770.ijrcog20161698

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Original Research Articles