Maternal and neonatal outcomes of repeated antepartum bleeding in 493 placenta previa cases: a retrospective study

Huang, Shiyun; Zuo, Qing; Wang, Tianjun; Tang, Xi; Ge, Zhiping; Lü, Hongmei; Zhou, Xin; Jiang, Ziyan

doi:10.1080/14767058.2021.1878495

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…There were 25,152 deliveries during the study period in all Awi Zone public hospitals. Among these, 448 had antepartum hemorrhage complicating 2.6% of them, which is in line with studies done in different countries [ 5 , 17 , 39 , 40 ]. However, our study’s finding is lower than a study done at Jimma University’s specialized hospital [ 30 ].…”

Section: Discussionsupporting

confidence: 87%

Determinants of feto-maternal outcomes of antepartum hemorrhage among women who gave birth in Awi zone public hospitals, Ethiopia. A case-control study

Zegeye,

Bazezew,

Adare

et al. 2024

PLoS ONE

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Background Antepartum hemorrhage continues to be a major cause of maternal and perinatal morbidity and mortality in developing countries including Ethiopia and it complicates 2–5% of all pregnancies with an increased rate of maternal and perinatal morbidity and even mortality. Despite many activities, still, poor fetomaternal outcomes of antepartum hemorrhage are still there. Moreover, studies around the current study area emphasize the magnitude and associated factors for antepartum hemorrhage rather than its feto-maternal outcomes. Thus, there is a need to identify the determinants associated with the fetomaternal outcomes of antepartum hemorrhage to guide midwives and obstetricians in the early diagnosis and treatment. Method An institution-based case-control study was conducted in four-year delivery charts diagnosed with antepartum hemorrhage from April 2, 2022, to May 12, 2022, at Awi Zone public hospitals. To see the association between dependent and independent variables logistic regression model along with a 95% confidence interval (CI) and a p-value of <0.05 were used. Result No antenatal care follow-up (AOR: 2.5, 95% CI 1.49–4.2), rural residence (AOR: 1.706, 95%CI 1.09–2.66), delay to seek care >12 hours (AOR: 2.57, 95% CI: 1.57–4.23) and advanced maternal age (AOR: 3.43, 95% CI 1.784–6.59) were significant factors associated with feto-maternal outcomes of antepartum Hemorrhage. Conclusion This study revealed that rural residence, delay in seeking the care of more than 12 hours, not having antenatal care follow up and advanced maternal age were significant factors associated with feto-maternal outcomes of Antepartum hemorrhage. Recommendation The findings of our study suggest the need for health education about the importance of antenatal care follow-up which is the ideal entry point for health promotion and early detection of complications, especially for rural residents.

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Section: Discussionsupporting

confidence: 87%

Determinants of feto-maternal outcomes of antepartum hemorrhage among women who gave birth in Awi zone public hospitals, Ethiopia. A case-control study

Zegeye,

Bazezew,

Adare

et al. 2024

PLoS ONE

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“…This increases the likelihood of neonatal asphyxia and NICU admission after birth according to a previous study. [47] Third, the Society for Maternal-Fetal Medicine recommends antenatal corticosteroids for women who expect to deliver before 37 weeks of gestation within 7 days to reduce neonatal respiratory morbidity. [48] However, it is either not given or administered in <24 hours with incomplete efficacy for those with imminent preterm ECD.…”

Section: Discussionmentioning

confidence: 99%

Impact of planned versus emergency cesarean delivery on neonatal outcomes in pregnancies complicated by abnormal placentation: A systematic review and meta-analysis

Huang

Yang

2023

Medicine

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Background: Although planned cesarean delivery (PCD) is the mainstay of management for abnormal placentation, some patients still require emergency cesarean delivery (ECD). We aimed to systematically analyze the impact of various modes of delivery on neonatal outcomes. Methods: This study was complied with the PRISMA guidelines and was registered in the PROSPERO (code: CRD42022379487). A systematic search was conducted on Ovid MEDLINE and Embase, Web of Science, PubMed, and the Cochrane databases. Data extracted included gestational age at delivery, birth weight, the Apgar scores at 1 and 5 minutes, numbers of newborns with low Apgar score (<7) at 5 minutes, the rates of neonatal intensive care unit admission, and the rates of neonatal mortality. Results: Fifteen cohort studies met the inclusion criteria, comprising a total of 2565 women (2567 neonates) who underwent PCD (n = 1483) or ECD (n = 1082) for prenatally diagnosed placenta accreta spectrum (PAS) and/or placenta previa (PP). Compared with the ECD group, neonates in the PCD group had significantly higher gestational ages (standardized mean difference [SMD]: 2.20; 95% confidence interval [CI]: 1.25–3.15; P < .001), birth weights (SMD: 1.64; 95% CI: 1.00–2.27; P < .001), and Apgar scores at 1 minute (SMD: 0.51; 95% CI: 0.29–0.73; P < .001) and 5 minutes (SMD: 0.47; 95% CI: 0.25–0.70; P < .001). Additionally, the PCD group had significantly lower rates of neonatal intensive care unit admission (odds ratio [OR]: 0.21; 95% CI: 0.14–0.29; P < .001), low Apgar score at 5 minutes (OR: 0.27; 95% CI: 0.11–0.69; P = .01), and neonatal mortality (OR: 0.13; 95% CI: 0.05–0.33; P < .001). Conclusion: When pregnancies are complicated by abnormal placentation, PCD is linked to noticeably better neonatal outcomes than emergent delivery.

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“…Placenta accerta is reported to be associated with placenta previa by some studies 4,5 . Pakistan is lacking behind in providing proper medical care during pre-term period to the pregnant women.…”

Section: Introductionmentioning

confidence: 96%

“…Pakistan is lacking behind in providing proper medical care during pre-term period to the pregnant women. Maternal mortality rate (MMR) has always been a great concern here and placenta accreta is one of the reasons behind high MMR 5 . Previous studies have shown that different factors in the obstetric history of the pregnant ladies may contribute to the development of abnormal fetus implantation 6 .…”

Section: Introductionmentioning

confidence: 99%

Association between Placenta Accreta and History of Previous C-Section and position of Placenta in Pregnant Women presenting at A Public Sector Hospital of Punjab, Pakistan: a cross-sectional analysis

Ashraf¹,

nif²,

Aziz³

et al. 2022

PJMHS

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Background: Placenta accreta is a rare and life threatening disease during pregnancy and causes must be sorted out for its early diagnosis and treatment. Aim: To find the association between placenta accreta and history of previous C-section in pregnant women. Methods: This analytical cross-sectional survey was conducted at Radiology department of DHQ teaching hospital Gujranwala from 1st January, 2022 to 31st March, 2022. A self-administered questionnaire was filled by the pregnant women at the gynecology and obstetrics outdoor department. Data was analyzed by using SPSS-Version 26. Results: AFI and age were found to be normally distributed while all other variables were non-normally distributed. Mean ± S.D of AFI was 10.75 ± 3.99 while mean ± S.D for age were 27.05 ± 3.90. Median ± IQR for gestational age of the study participants was 33.1 ± 8.98. While median ± IQR for body weight and heart rate of the study participants were 2052 ± 1632 and 147 ± 11 respectively. The association of the placenta accreta with history of C-Section was found to be highly statistically significant in our study (P=0.012). Conclusion: It was evident from our study that plecenta accreta was associated with history of C-Section hence the multiparous with history of C-Section should undergo repeated scans for early diagnosis of placenta previa and the patients also need to have a proper follow-up as per consultant’s advice. Key words: C-section, Placenta Accreta, Pregnancy.

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Maternal and neonatal outcomes of repeated antepartum bleeding in 493 placenta previa cases: a retrospective study

Cited by 6 publications

References 13 publications

Determinants of feto-maternal outcomes of antepartum hemorrhage among women who gave birth in Awi zone public hospitals, Ethiopia. A case-control study

Determinants of feto-maternal outcomes of antepartum hemorrhage among women who gave birth in Awi zone public hospitals, Ethiopia. A case-control study

Impact of planned versus emergency cesarean delivery on neonatal outcomes in pregnancies complicated by abnormal placentation: A systematic review and meta-analysis

Association between Placenta Accreta and History of Previous C-Section and position of Placenta in Pregnant Women presenting at A Public Sector Hospital of Punjab, Pakistan: a cross-sectional analysis

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