Correlation of maternal age with placenta previa

Abstract

Objective: To study the effect of maternal age on incidence of placenta previa. Introduction: Placenta previa is a serious and life threatening obstetric complication where the placenta lies within the lower segment of the uterus, presenting an obstruction to the cervix and to delivery. A trend of increasing placenta previa incidence was observed in the past decade mainly because of an increasing caesarean section rate and advancing maternal age at the time of pregnancy. Methods: This study was a prospective study conducted in a teaching medical college and hospital over a period of three years [2011][2012][2013][2014]. A detailed history was taken according to our proforma for all pregnant women at or after 32 weeks who attended the hospital in the study period. As per inclusion and exclusion criteria of our study, the study population was selected. All other risk factors for placenta previa except maternal age were excluded. The association between maternal age and placenta previa was analysed. Placenta was located by Transabdominal ultrasound and patients with placenta previa were followed up regularly. Results: Our study showed that women aged ≥35 years or more had increased risk of placenta previa(3.6%) which was statistically significant (p<0.05) by Chi-square test. Conclusion-Advancing maternal age (≥ 35years) appears to increase the risk of placenta previa independent of other risk factors.

Usia Ibu Sebagai Faktor Risiko Terjadinya Plasenta Previa

“…8 Pada penelitian yang dilakukan oleh Rose dan Gopalan menggunakan studi prospektif selama 2,5 tahun diperoleh hasil wanita hamil berusia >35 memiliki risiko mengalami plasenta previa sebanyak 3,6% dan pada uji Chi square diperoleh p<0,05 yang berarti terdapat hubungan antara usia dan kejadian plasenta previa. 9 Berdasarkan penelitian Suryanti dan Sihombing (2019) mengenai hubungan usia hamil dengan kejadian plasenta previa diperoleh hasil signifikansi sebesar 0,008 yang berarti terdapat hubungan antara usia dengan kejadian plasenta previa. Pada perhitungan odds ratio diperoleh hasil 11,57.…”

A study on correlation of placenta praevia with previous caesarean section and other risk factors

“…In a study done by Rose S AA and Usha Gopalan U in 2015, it was concluded that women aged ≥35 years or more had increased risk of placenta praevia (3.6%) which was statistically significant (p<0.05) by Chi-square test. 13 15 In light of the above trend regarding increasing maternal age it becomes all the more important to study the associated risk factor. The mechanism by which advanced maternal age impairs normal placental development is unclear but increase in the percentage of sclerotic changes on intra myometrial arteries with age and thereby reducing blood supply to the placenta could be a cause.…”