Maternal and neonatal outcomes of placenta previa and placenta accreta: three years of experience with a two-consultant approach

International Journal of Women's Health
Gamal A Kassem, Ali K Alzahrani

Abstract

The aim of this retrospective cohort study was to evaluate maternal and neonatal outcomes in patients with placenta previa (PP) and placenta accreta (PA). The study population comprised all patients who had a cesarean section for PP and PA at a tertiary referral hospital in Taif, Kingdom of Saudi Arabia, from December 2009 to December 2012. Maternal and neonatal data were obtained from medical records and the hospital database system. PA cases were managed by a multispeciality team, including two obstetric consultants. In total, 122 patients with PP were identified, with PA found in 25 cases. The median intraoperative blood loss in cases of PA was 2,000 (mean 3,000) mL, with a loss of ≥2,000 mL occurring in 72%, and ≥5,000 mL in 20%. The median packed red blood cell transfusion requirement was 6 (mean 7.7) units, and 28% received ≥10 units. Fetal growth restriction was diagnosed in two cases with known maternal medical disorders. Four cases (3.3%) were diagnosed as small for gestational age. The mean birth weight of the neonates was at the 10th-50th percentile according to Hadlock fetal growth charts. The presence of a second obstetric consultant among the multispeciality team during surgery for PA was associated with a reducti...Continue Reading

Citations

Oct 3, 2015·American Journal of Obstetrics and Gynecology·Sevan A VahanianAnthony Vintzileos
Feb 4, 2014·American Journal of Obstetrics and Gynecology·Kevin M WymerBeth A Plunkett
Aug 13, 2015·Chinese Medical Journal·Xiao-Yu PanSu-Hui Han
Sep 2, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·E WeinerM Kovo
Apr 23, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Roksana MoeiniFatemeh Sadat Nayyeri
Mar 8, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ying-Lan WangXin-Ying Shen
May 19, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Gabriel Levin, Amihai Rottenstreich
Apr 2, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yangming LiuPing Che

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Methods Mentioned

BETA
cesarean section
hysterectomy
cesarean sections

Software Mentioned

Statistical Package for the Social Sciences

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