An empirical study on maternal and perinatal outcome of placenta previa-risk factors, morbidity and mortality in JNIMS, Imphal, India

Haripriya Devi Sanglakpam; Indrakumar Singh Ng.

doi:10.18203/2320-1770.ijrcog20196049

Authors

Haripriya Devi Sanglakpam Department of Obstetrics and Gynecology, JNIMS, Imphal, Manipur, India
Indrakumar Singh Ng. Department of Obstetrics and Gynecology, JNIMS, Imphal, Manipur, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20196049

Keywords:

Morbidity, Obstetrics haemorrhage, Perinatal outcome, Placenta previa, Mortality, Risk

Abstract

Background: The observational study to analyse the maternal and perinatal outcome in pregnancies complicated with placental previa evaluating the potential risk factor, associated with morbidity and mortality.

Methods: The study was a prospective longitudinal comprising of all the pregnant women after 28 week of gestation irrespective of gravid and parity that attended or admitted in the department of obstetrics and gynaecology, JNIMS, diagnosed as having placental previa by transabdominal ultrasonography and conducted for the period of 20 months i.e. from October 2017 to June 2019 analyzing 54 cases of placenta previa.

Results: During this period there were total of 9967 deliveries with incidence of placenta previa being 0.54% in JNIMS, Porompat. The estimated risk factors out of total 54 cases were 20-30 (52%) years by age group, 25 (46%) gravida, 18 (32%) parity, 36 low lying placenta and 11 cases (20%) preterm.

Conclusions: Highest levels of placenta previa are associated with poor maternal and perinatal outcome.

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References

Cunningham. Obstetric Haemorrhage. In: F.G, Leveno F.G, Bloom S.L, Spoong C.Y, Dashe J.S, Limbo Y’s William Obstetrics. 24th ed. New York, NY: Mc Graw Hill; 2014:799-808.

Laverty PL. Resolution of placenta previa. Clin Obstet Gynecol. 1990;33(3):414-21.

Campbell S. Placenta previa. In: Asim K, Frank AC, Jose MC’s. Three dimensional ultrasound in obstetrics and gynaecology. New York: The Parthenon Publishing Group; 1997:29-44.

Nelson JP. Ante partum haemorrhage. In: Edmond DK, editor. Dewhursts textbook of Obstetrics and Gynaecology for postgraduates. 6th ed. Oxford: Blackwell Scientific London; 1995:164-174.

Saunders’s Bleeding in late pregnancy. In: James DK, editor. High risk pregnancy management options. 3rd ed. London: 2000:111-117.

Steven LC. Placenta previa and abruption placenta. In: Robert KC, Kobert R, editors. Maternal-fetal medicine principle and practice. 5th ed. Philadelphia, USA: Saunders; 2004:707-722.

Yang Li. Lim YK, Kim HS, Chang KH, Lee JP, Ryu HS. Sonographic findings of placental lacunae and prediction of adherent placenta in women with placenta previa fetalis and prior cesarean section. Ultrasound Obstet Gynecol. 2006;28(2):178-82.

Tuzovic L, Djelmis L, Illigic M. Obstetric risk factor associated with placenta previa development: case control study. Crotian Med J. 2003;44(6):728-33.

Singhal S, Nymphaea, Nanda S. Maternal and perinatal outcome in ante partum haemorrhage: a study at tertiary care referral institute. Int J Gynecol Obstet. 2007;9(2):1-4.

Faiz AS, Ananth CV. Etiology and risk factor for placenta previa: An overview and meta-analysis of observational studies. J Maternal-Fetal Neonatal Med. 2003;13(3):175-90.

Rajeshwari R, Rubini M. Maternal and perinatal outcome in placenta previa – one-year study in territory care centre in Tamil Nadu. Int J Reprod Contraceptn Obstet Gynecol. 2016;5(8):2819-22.

Frederickson FC, Glessenberg R, Stika. Placenta previa: a 22 year analysis. Am J Obstet Gynecol. 1999;180(3):1432-7.

Crane JM, Van den Hof MC, Dodds L, Armson BA, Liston R. Maternal complications with placenta previa. Am J Perinatol. 2000;17(2):101-5.

Yang Q, Wen SW, Oppenheimer L, Chen XK, Black D, Walker MC. Association of cesarean delivery for the first time with placenta previa and placental abruption in second pregnancy. Br J Obstet Gyncol. 2007;114(5):609-13.

Loto O, Online TG. Placenta previa at the Obefemi Awolowo teaching hospital complex, Llelfe, a ten year analysis. Niger J Clin Pract. 2008;11(2):130-3.

Urganci IG. Risk of placenta previa in post cesarean pregnancy. BMC Preg Child Birth. 2011;11:95.

Kiondo P, Wandabwa J, Doyle P. Risk factors of placenta previa presenting with severe vaginal bleeding in Mulago Hospital, Kampala, Uganda. African Health Sci. 2008;8(1):44-9.

To WW, Leung WC. Placenta previa and previous cesarean section. Int J Gynecol Obstet. 1995;51(1):25-31.

Abu-Heija AT, El-Jallad F, Ziadeh S. Placenta previa: effect of age, gravidity, parity and previous cesarean section. Gynecol Obstet Invest. 1999;47(1):6-8.

Japaraj RP, Mimin TS, Mukudan K. Antenatal diagnosis of placenta previaaccreta in patient with previous cesarean scar. J Obstet Gynaecol Res. 2007;33(4):431-7.

Yang JI, Lim YK, Kim HS, Chang KH, Lee JP, Ryu HS. Sonographic findings of placental lacunae and the prediction of adherent placenta in women with placenta previatotalis and prior cesarean section. Ultrasoun Obstet Gynecol. 2006;28(2):178-82.

Adeyomoye AA, Ola ER, Arogundade RA, Awosanya GO, Abudu OO. Comparison of the accuracy of transabdominal sonography (TAS) and transperineal sonography (TPS) in the diagnosis of placenta previa. Niger Post Graduate Med J. 2006;13(1):21-5.

Bhinde A, Pretumo F, Moore J, Hollis B, Thilaganathan B. Placental edge to internal os distance in the Late third trimester and mode of delivery in placenta previa. Br J Obstet Gynecol. 2003;110:860-4.

Predanic M, Perni SC, Baergen RN, Jean- Pierre C, Chasen ST, Chervenak FA. Sonographic assessment of different patterns of placenta previa “Migration” in 3rd trimester pregnancy. J Ultrasound Med. 2005;24(6):773-80.

Mustafa SA, Brizot ML, Cravalho MH, Watanabe L, Kahhale S, Zugaib M. Transvaginal ultrasonography in predicting placenta previa at delivery, a longitudinal study. Ultrasound Obstet Gynaecol. 2002;20(4):356-9.

Buckshee K, Deka D, Kaur P, Dadhwal V. A critical evaluation of transperineal sonography in the diagnosis of placenta previa. J Obstet Gynecol India. 1999;49(4):51-2.

Ghaurab. Third trimester transvaginal sonography; does the shape of lower placental edge predict clinical outcome. Ultrasound Obstet Gynecol. 2001;18(2):103-8.

Gillieson MS, Winer HT, Muram D. Curious case of placenta previa: maternal and paternal outcome. J Can Assoc Radiol. 1982;144(12):577-80.

James SS. Ante partum Hemorhhage. I Br Med J. 1964;1163-65.

Macafee CHG. Placenta previa- a study of 174 cases. J Obstet Gynaecol Br Emp. 1945;52(3):313-24.

Thomas JB. Obstetric haemorrhage. In: Steven GG, Jennifer RN, Joe LS editors. Obstetrics normal and problem pregnancies. 3rd ed. New York: Churchill Livingstoe: 1996:499-532.

Cotton DB, Read JA, Paul RH, Quillingan EJ. The conservative aggressive management of placenta previa. Am J Obstet Gynecol. 1980;137(5):678-95.

Angelo LJ, Irwin LF. Conservative management of placenta previa: a cost benefits analysis. Am J Obstet Gynecol. 1984;149(3):320-6.

Besinger RE, Moniak CW, Paskiewicz LS, Fisher SG, Tomich PG. The effect of tocolytic use in the management of symptomatic placenta previa. Am J Obstet Gynecol. 1995;172(6):1770-5.

Shama A, Suri V, Gupta I. Tocolytic therapy in conservative management of symptomatic placenta previa. J Gynecol Obstet. 2004;84(2):109-13.

Wing DA, Richard HP, and Lynne KM. Management of symptomatic placenta previa: A randomized controlled trial of inpatient vs. outpatient expectant management. Am J Obstet Gynecol. 1996;175(4):806-11.

Olive EC, Robert CL, Algert CS, Morris JM. Placenta previa: Maternal morbidity and place of birth. Aust NZ J Obstet Gynaecol. 2005;45(6):499-504.

Bhat SM. Study of placenta previa in a referral hospital in Oman. Saudi Med J. 2004;25(6):728-31.

Buambo-Bamanga SF, Oyere-Moke P, Makoumbou P, Ekomdzola JR, Mayanda HF. Placenta previa: maternal and fetal prognosis covering 128 consecutive cases from the Brazaville University Hospital centre, Cahiers d'études et de recherches francophones/Santé. 2004;14(3):177-81.

Lin C, Wang S, Hsu Y, Lin Y, Yeh T. Risk of respiratory distress syndrome in preterm infant born to mother complicated by placenta previa. Early Human Dev. 2001;60(3):215-24.

Dola CP, Garite TZ, Dowling DD, Friend D, Andoot D, Asrat T. Placenta previa: does its type effect pregnancy outcomes. Am J Perinatal. 2003;20(7):353-360.

James D. Bleeding in pregnancy. In: Geoffrey C, Phillip S editors. Turn Bull’s Obstetrics. 3rd ed. London: Churchill Livingstone; 2001:201-228.

Khasshoggi T. Maternal and neonatal outcome in major placenta previa. Ann Saudi Med. 1995;15(4):313-6.

Maiti S, Kanrar P, Karmakar C, Bagdi S. Maternal and perinatal outcome in rural Indian woman with placenta previa. BBB. 2014;2(4):714-6.

Zlatnick Q, Wuwen S, Caughey S, krewski D, Sun L, Walker MC. Placenta previa: Its relationship with race and the Country of origin among Asian Women. Acta Obstet Gynecol Scand. 2008;87(6):612-6.

Crane JM, Van Den Hof MC, Dodds L, Armson BA, Liston R. Neonatal outcome with placenta previa. Obstet Gynecol. 1999;93(5):541-4.

Abisowo OY, Ireti AO, Olesegun FA, Adeniyi OI, Oyedukun OY. Caesarean section for placenta previa: Does booking Status affect Maternofetal Outcome? Open J Obstet Gynaecol. 2016;6(4):306-12.

Ananth CV, Smulisn JC, Vintzuelos. The association of placenta previa with the history of cesarean delivery and abortion: a meta-analysis. Am J Obstet Gynecol. 1997;177(3):1071-8.

Norgaard LN, Pinborg A, Lidegaard O, Bergholt T. A Danish national cohort study on neonatal outcome in singleton pregnancies with placenta previa. AOGS. 2012;91(12):546-51.

Spinillo A, Fazzi E, Stronati M, Ometto A, Capuzzo E, Guaschino S. Early morbidity and neurodevelopment outcome in low-birth weight infants born after third trimester bleeding. Am J Perinatal. 1994;11(2):85-90.

Atsuko S, Akhito N, Ikumo K, Masako H, Toshiko T. Types and location of placenta previa affect preterm delivery risk related to Ante partum Haemorrhage. Int J Med Sci. 2013;10(4):1683-8.

Viraj RN, Pia MC. A study of proportion, maternal and fetal outcome in cases of placenta previa. IOSR J Dental Med Sci. 2018;17(8):1-5.

Kitaw D, Mary BB, Lawrence J, George GR. Placenta previa: preponderance of male sex at birth. Am J Epidemiol. 1999;149(9):824-30.

Romundstad LB, Romundstad PR, Sunde A, Von Dalring V, Skjaerven R, Vatten LJ. Increased risk of placenta previa in pregnancies following IVF/ICI: a comparison of ART and NON-ART in some mother. Human Reprod. 2006;21(9):2353-8.

Rani P, Chaturvedula L. Placenta previa: an analysis of 4 years experiences. J Obstet Gynecol India. 1999;49(7):53-5.

Nirmala CH, Mounisha BNV. Placenta previa- a study on maternal and perinatal outcome. IOSR J Dental Med Sci. 2017;16(11):123-8.