Indications for, Timing of, and Modes of Delivery in a National Cohort of Women Admitted With Antepartum Hemorrhage at 22+0 to 28+6 Weeks’ Gestation

Sabourin, Jeanelle; Lee, Tang; Magee, Laura A.; Dadelszen, Peter von; Demianczuk, Nestor

doi:10.1016/s1701-2163(16)35434-2

Cited by 8 publications

(4 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar findings were recorded by Boyle et al, Sabourin et al, where more than half cases had operative haemorrhage and a fourth required blood transfusion (Table 6). 17,18 In the present study, emergency procedures like, B/L UA ligation was done in 4 (13.3%), B/L UA embolization and ligation in 3 (10.0%), and placental bed suturing in 1 (3.3%).…”

Section: Discussionmentioning

confidence: 75%

Maternal and fetal outcome in placenta previa: our experience

Maïti

Adhikary²,

Lele

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Placenta previa contributes substantial maternal and neonatal morbidity including management challenges for obstetrician. This study was to evaluate the potential risks factors and feto-maternal, outcome in placenta previa. This study was done with the intent of developing insight into risk factors, clinical presentation, various interventions and management for overall improvement in maternal and fetal outcome in placenta previa.Methods: A prospective observational study, where 30 cases of placenta previa confirmed after 28 weeks POG, treated in a public sector tertiary care hospital from June 2016 to June 2018 were included. Authors analyzed the data to evaluate the potential risks factors and maternal and fetal outcome in placenta previa.Results: In this study, major contributing risk factors for placenta previa were associated with multiparity (76.7%), maternal age >30 in 50%, previous LSCS in 46.7%, repeated uterine procedure like suction evacuation/curretage. There was a high rate of maternal morbidity mainly due to haemorrhage. Perioperative uterine artery embolization (UAE) in 3 (10%), intra-operative procedures namely devascularization, internal iliac ligation in 66.6% cases, peripartum hysterectomy in 2 (6.66%) were done to control haemorrhage. Blood and blood products transfusion required in 26.7% of cases. Fetal morbidity included prematurity in 9 (33.3%), NICU admission in 11 (36.6%) majority of which included 8 (26.7%) babies of birth weight <2000 grams.Conclusions: Placenta previa contributes to significant maternal and neonatal morbidity. Multiparity, post LSCS pregnancy constitute major factor for placenta previa. Management requires high-risk obstetrical care with frequent antenatal visits. Serial ultrasonography in reported cases of low-lying placenta to mandatory exclude overdiagnosis or migration. All cases of placenta previa need to be managed in a higher centre facility of blood component therapy and neonatal intensive care unit. Prematurity and low birth weight remain a significant cause for neonatal morbidity.

show abstract

Section: Discussionmentioning

confidence: 75%

Maternal and fetal outcome in placenta previa: our experience

Maïti

Adhikary²,

Lele

et al. 2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The age of viability is taken as 20 weeks in the North America, 24 weeks in the United Kingdom and most of Europe and 28 weeks in Indian subcontinent. 1,2 Hemorrhage (both antepartum and postpartum) is one of the leading causes of maternal morbidity and mortality in the world. According to data from Centre for Disease Control (CDC), hemorrhage was found to be a direct cause of maternal death in about 30% of cases.…”

Section: Introductionmentioning

confidence: 99%

Perinatal outcomes in pregnant patients presenting with antepartum hemorrhage: Our experiences at a teaching hospital in Central Punjab.

Mushtaq

Abbas

Ahmed³

2019

TPMJ

View full text Add to dashboard Cite

Objectives: Antepartum Hemorrhage is bleeding from or into the genital tract from the period of viability of fetus (28 weeks) till the end of second stage of labor. Antepartum hemorrhage is associated with a very high perinatal mortality rate. We present our experience of perinatal outcomes in cases of antepartum hemorrhage with the aim of highlighting the cause of antepartum hemorrhage and the adverse outcomes. Study Design: Descriptive Cross sectional study. Setting: Department of Gynecology & Obstetrics, Sargodha Medical College, Sargodha. Period: Jan 2018 to Jun 2018. Material and Methods: Ninety six pregnant patients between ages of 15-45 years diagnosed as cases of antepartum hemorrhage were enrolled. Patients with coagulation disorders, twin pregnancies, abnormal lie or presentation, previous scar and any known congenital anomaly. Cause of antepartum hemorrhage and mode of delivery was recorded. Perinatal outcomes were determined in terms of frequencies of perinatal mortality, stillbirth and low birthweight babies. Results: The etiology of antepartum hemorrhage in our setup was placenta previa (43.75%); placental abruption (37.5%); Toxemia (10.41%) and unclassified causes in 8.33% patients. The perinatal mortality rate was 43.75% in our study. The overall frequency of low birthweight babies and stillbirth was 62.5% and 27.08% respectively. Conclusion: Antepartum hemorrhage is a major cause of perinatal mortality in our country. A prompt diagnosis of the cause followed by early cesarean section can help reduce the overall mortality.

show abstract

“…15 In Australia, the average rate is 12%. 16 Hospitals of different medical colleges receive a good number of high-risk patients with inadequate or no antenatal care. This prospective cross sectional study was designed to evaluate the risk factors which are associated with preterm patients leading to delivery by caesarean section.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of indication and feto-maternal outcome of caesarean section among the preterm pregnant patients in a tertiary care hospital

Meherunnesa,

Akter,

Nazim

et al. 2024

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Caesarean sections performed appropriately and following appropriate medical indications are potentially life-saving procedures. At the same time, in many settings, women are increasingly subjected to caesarean sections without any appropriate indication which may contribute to the worldwide secular trend towards higher rates of caesarean sections. The objective of this study was to find out the indications and outcome of caesarean section in preterm pregnant patient. Methods: It was a prospective cross sectional observational study carried out department of obstetrics and gynecology, Dhaka Medical College and Shaheed Suhrawardy Medical College Hospital, Dhaka, during the period of July 2013 to December 2013. Results: Maximum (38%) of patients were between the age group 15-20 years. Of the 100 patients, eclampsia was highest (22%) among the list. Other common indications were APH 8%, PROM 20%, fetal distress 14%, malpresentation with cord prolapse 1%. Emergency operations were performed in majority (95%) of the mothers and elective operations in rest (5%) of the mothers. It was observed that pulmonary oedema 6%, post-partum hemorrhage 8%, wound infection 12% and urinary tract infection was present in 5% cases. Of the 92% had live birth, 8% had still birth and 18% died in the early neonatal period. LBW were 89% and 18% had birth asphyxia. Conclusions: This study showed most common indications were eclampsia, pre-eclampsia. Other common indications were APH, PROM, fetal distress, malpresentation with cord prolapse etc. Electronic foetal monitoring and biochemical testing have improved the foetal assessment to a great extent.

show abstract

Indications for, Timing of, and Modes of Delivery in a National Cohort of Women Admitted With Antepartum Hemorrhage at 22+0 to 28+6 Weeks’ Gestation

Cited by 8 publications

References 27 publications

Maternal and fetal outcome in placenta previa: our experience

Maternal and fetal outcome in placenta previa: our experience

Perinatal outcomes in pregnant patients presenting with antepartum hemorrhage: Our experiences at a teaching hospital in Central Punjab.

Evaluation of indication and feto-maternal outcome of caesarean section among the preterm pregnant patients in a tertiary care hospital

Contact Info

Product

Resources

About