Persistence of Placenta Previa in Twin Gestations Based on Gestational Age at Sonographic Detection

Kohari, Katherine; Roman, Ashley S.; Fox, Nathan S.; Feinberg, Jessica; Saltzman, Daniel H.; Klauser, Chad K.; Rebarber, Andrei

doi:10.7863/jum.2012.31.7.985

Cited by 62 publications

(5 citation statements)

References 15 publications

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“…Other factors increasing risk of placenta previa like infertility treatment, found in 4 patients and twin gestation found in 3 patients in this study were comparable to findings in similar studies. 10,11 In this study the placenta was low lying in 17.6% patients, true placenta previa in 79.3% and placenta accreta was found in 8 patients similar to findings of Sarojini et al with 60.4% having major placenta previa. 6 A total 93% cases underwent cesarean delivery, main indication being major degree placenta previa and results are comparable to the study conducted by Sarojini et al where 85.8% underwent caesarean section.…”

Section: Discussionsupporting

confidence: 87%

The bleeding mother and her baby: a study to determine the fetomaternal outcome in cases of placenta previa

Lewis

Bijapur

Gurnani

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Placenta previa is one of the major causes for obstetric hemorrhagic morbidity and mortality with increasing incidence in recent times. This study aims at determining risk factors, maternal and fetal outcome associated with placenta previa.Methods: This was an observational, retrospective study conducted at a tertiary care hospital in Mumbai from May 2017 to March 2020. A total of 102 women with placenta previa during the study period were included, their case records critically analyzed to identify risk factors, maternal outcome in relation with blood transfusion required, ICU admission, obstetric hysterectomy and fetal outcome pertaining to prematurity, asphyxia and mortality.Results: A total of 102 patients were analyzed. Placenta previa was more common in >26 years of age, multipara (64.7%), with previous history of caesarean sections (21.5%) and previous curettage (11.7%), 44.2% babies born were preterm, 4.4% stillbirths and 8.5% neonatal deaths. Maternal complications like antepartum hemorrhage was seen in 58.8% patients and postpartum hemorrhage in 33.3%, blood transfusion was required in only 18 patients post operatively, bladder rent was seen in 3 patients and there was no maternal mortality. 44 patients required uterine artery ligation, Ashok Anand stitch was taken in 37 patients, uterus compression sutures in 10, obstetric hysterectomy in 7 patients and internal iliac artery ligation in 2 patients.Conclusions: Early identification of women at risk, obstetric preparedness and simple techniques like uterine artery ligation, Ashok Anand stitch and uterine compression sutures can help in effectively reducing need for multiple blood transfusions and morbidity.

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Section: Discussionsupporting

confidence: 87%

The bleeding mother and her baby: a study to determine the fetomaternal outcome in cases of placenta previa

Lewis

Bijapur

Gurnani

2020

Int J Reprod Contracept Obstet Gynecol

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“…Among those with placenta praevia diagnosed in the second trimester the majority of cases resolve by 32 weeks of gestation. 29,47 After 32 weeks of gestation around 50% of the remaining placenta praevia will resolve, with no further changes after 36 weeks of gestation. 29 Evidence level 3…”

mentioning

confidence: 99%

Placenta Praevia and Placenta Accreta: Diagnosis and Management

Jauniaux¹,

Alfirević²,

Bhide³

et al. 2018

BJOG

424

415

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“…In twin pregnancies, the likelihood of persistence of placenta praevia is also dependent on the gestational age at sonographic detection. Among those with placenta praevia diagnosed in the second trimester the majority of cases resolve by 32 weeks of gestation [29,47]. After 32 weeks of gestation around 50% of the remaining placenta praevia will resolve, with no further changes after 36 weeks of gestation [29].…”

Section: Evidence Levelmentioning

confidence: 99%

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2022

UJPP

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Передопераційний менеджмент пацієнток з артеріальною, легеневою гіпертензією в поєднанні з гінекологічними та хірургічними захворюваннями1 ДУ «Інститут педіатрії, акушерства і гінекології імені академіка О.М. Лук'янової НАМН України», м. Київ 2 Національний медичний університет імені О.О. Богомольця, м. Київ, Україна 3 Центр хірургії печінки, підшлункової залози і жовчних протоків імені В.С. Земскова ДУ «Інститут педіатрії, акушерства і гінекології імені академіка О.М. Лук'янової НАМН України», м. Київ

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Persistence of Placenta Previa in Twin Gestations Based on Gestational Age at Sonographic Detection

Cited by 62 publications

References 15 publications

The bleeding mother and her baby: a study to determine the fetomaternal outcome in cases of placenta previa

The bleeding mother and her baby: a study to determine the fetomaternal outcome in cases of placenta previa

Placenta Praevia and Placenta Accreta: Diagnosis and Management

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