Placenta previa and risk of major congenital malformations among singleton births in Finland

Kancherla, Vijaya; Räisänen, Sari; Gissler, Mika; Kramer, Michael R.; Heinonen, Seppo

doi:10.1002/bdra.23371

Cited by 23 publications

(27 citation statements)

References 28 publications

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“…Compared to controls, pregnancies with previa were significantly associated with preterm delivery prior to 28 weeks (3.5% vs. 1.3%; p = 0.003), 32 weeks (11.7% vs. 2.5%; p < 0.001), and 34 weeks (16.1% vs. 3.0%; p < 0.001) of gestation. Our study also agreed with Kancherla et al 6 who found that there was significant difference between gestational age in both groups with p value <0.001. Preterm with placenta previa may be explained by bleeding episodes leading to emergency cesarean section as well as elective cesarean sections contributes to the increased risk of preterm delivery with placenta Previa.…”

Section: Discussionsupporting

confidence: 93%

“…In women without placenta previa age ranged from (16 -47) with mean±SD (29.59 ± 5.92) and in women with placenta previa age ranged from (17 -46) with mean±SD (31.75 ± 5.04), parity in women without placenta previa ranged from(0.0 -11) with median 2.0 (1 -3) while parity in women with placenta previa ranged from(0.0 -8) with median 3.0 (2 -3), in comparison according to Previous CS women without placenta previa who undergone CS ranged from(0.00 -7) with median 1 and with placenta previa with median2.00 (1 -3). There was highly statistically significant difference between both groups with p value< 0.001and this study agree with Kancherla et al 6 which was a retrospective populationbased study of all singleton births born at or after 22weeks of gestation in Finland during 2000 to 2010 who found that 49% of women had no placenta previa with ages more than 29 years while 57.2 % of them had placenta previa with p value< 0.001 and placenta previa increase in women with previous CS with percentage of 17.2 % in comparison to 10.5 in women without placenta previa with p value < 0.001 and there was no significant difference in parity in both groups.…”

Section: Discussionsupporting

confidence: 92%

“…Socioeconomic status (SES) categorized (high_ middle _low). 6. We also examined presence of preeclampsia, gestational diabetes, and pre-existing diabetes mellitus Information .…”

Section: Risk Factors For Malformationsmentioning

confidence: 99%

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Placenta previa and risk of congenital malformations among singleton births

Anwar

farhan

Zalat³

2020

Al-Azhar International Medical Journal

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

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Placenta previa and risk of congenital malformations among singleton births

Anwar

farhan

Zalat³

2020

Al-Azhar International Medical Journal

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“…This is smaller than what is reported by Kancher et al, 2015 who found 6.2% of women with PP delivered a singleton infant with a major congenital malformation, compared with 3.8% of unaffected women. 25 This is may be due to the sample size that was insufficient to detect the actual rates of congenital anomalies in these patients.…”

Section: Discussionmentioning

confidence: 97%

“…6,7 Placenta previa also was weakly but significantly associated with an increased risk of major congenital anomalies. 8 The current study aims to evaluate the prevalence of cases of PP and PA attending to Women's Health Hospital Assiut University in the period from January 2015 to December 2016. Additionally, to evaluate the maternal and neonatal outcomes of PP and PA.…”

mentioning

confidence: 99%

Maternal and neonatal outcomes of placenta previa and accreta at Assiut women’s health hospital, Egypt

Zakherah

Abdel-Aziz

Othman

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of the current study was to estimate the incidence of placenta previa (PP) and accreta (PA) in the period from January 2015 to December 2016 at Women’s Health Hospital, Assiut University, Egypt and to evaluate the maternal and neonatal outcomes.Methods: The study included all cases of PP with or without suspicion of accreta who were diagnosed preoperatively by ultrasound at Women’s Health Hospital, Assiut University. Maternal and neonatal outcomes were evaluated. All intraoperative and postoperative data were reported. The obtained data was analyzed by means of SPSS software (version 22.0) and p<0.05 was taken as the significant level.Results: Total number of deliveries was 29027 cases. The number of cases of PP was 494 cases making an incidence of 1.7%, among them 95 cases were confirmed during surgery to be accreta (0.33%). Uterine artery ligation was carried out 300 cases (60.7%) of cases while cesarean hysterectomy was performed in 56 cases (11.3%). Bladder injury occurred in 58 cases (11.7%), ureteric injury occurred in 6 cases (1.2%), colon injury occurred in 1case (0.2%) and vascular injury occurred in 2 cases (0.4%). Maternal mortality was 4 cases (0.8%). The mean gestational age was 34.73 ± 2.8 weeks. Also, over the two years there were 148 neonatal cases (29.9%) needed assisted ventilation in the form of ambu bag or endotracheal intubation gestation. NICU admission needed in 109 neonatal cases (22.06%) and neonatal mortality reported in 18 neonates (3.6%).Conclusions: The incidence of both PP and PA is very high in our locality due to increase CS rate.

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Perinatal characteristics and pregnancy outcomes of advanced maternal age women with gestational diabetes mellitus: A retrospective cohort study

Jiang,

Wen,

et al. 2024

Health Science Reports

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Background and AimsThe prevalence of gestational diabetes mellitus (GDM) continues to increase, and the phenomenon of women giving birth at an older age is becoming more common worldwide. Less is known abouts the impact of GDM combined with advanced maternal age (AMA) on pregnancy outcomes. To explore the impact of AMA complicated with GDM on pregnancy outcomes.MethodsThis study included 34,602 pregnancies between 2018 and 2020 in Hangzhou, China. The pregnant women were divided into four groups according to advanced age (≥35 years) and GDM as follows: AMA women without GDM (non‐AGDM) group (n = 2614), young pregnant women with GDM (YGDM) group (n = 4016), AMA women with GDM (AGDM) group (n = 850), and young pregnant women without GDM (non‐YGDM) group (n = 27,122). Univariate analysis was carried out by Mann–Whitney U test or Pearson's χ2 test. Multivariate logistic regression analysis was used to investigate the effect of AMA and GDM on pregnancy outcomes.ResultsMultivariate logistic regression analysis showed that in the comparison against non‐YGDM garoup, the ORs of fetal chromosome abnormality, parity, urgent cesarean section, gravidity, scheduled cesarean section, body mass index (BMI) ≥30 kg/m2, pre‐eclampsia, thrombocytopenia, hyperlipidemia, BMI 25–29.9 kg/m2, blood urea nitrogen, fasting blood glucose, and creatinine in AGDM group were 16.044, 4.284, 3.530, 3.284, 3.257, 2.049, 1.935, 1.898, 1.690, 1.471, 1.304, 1.216, and 1.026 (all p < 0.05).ConclusionsThe prevalence of pregnant women with AGDM was 2.46% in Hang Zhou, China. The increasing gravidity of AMA women was related to a greater risk of GDM. The AGDM group associated with a greater risks of chromosomal abnormality in offspring and cesarean section, especially urgent cesarean section.

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Placenta previa and risk of major congenital malformations among singleton births in Finland

Cited by 23 publications

References 28 publications

Placenta previa and risk of congenital malformations among singleton births

Placenta previa and risk of congenital malformations among singleton births

Maternal and neonatal outcomes of placenta previa and accreta at Assiut women’s health hospital, Egypt

Perinatal characteristics and pregnancy outcomes of advanced maternal age women with gestational diabetes mellitus: A retrospective cohort study

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