Risk factors for hysterectomy among patients with placenta previa totalis

HIGHLIGHTS 1. To provide effective prevention and management of placenta previa, maternal and neonatal outcomes should be identified.2. Among mothers studied, no maternal mortality was found, but most newborns had prematurity and low birthweight. ABSTRACT Objective: To identify maternal and neonatal outcomes in delivery with diagnosis of antepartum hemorrhage (APH) due to placenta previa. Materials and Methods: This was a descriptive retrospective study with cross-sectional design. Samples were taken using medical records with convenience sampling technique. Deliveries with history of APH due to placenta previa at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, on January 1 until December 31, 2019, were included. Results: In our study, 36 mothers were included. Maternal characteristics included age of 20–35 years in 72.2%, overweight in 50%, referral visits in 69.4%, from out of town (66.7%), bleeding onset at 3rd trimester (97.2%), primigravida (8.3%), nulliparity (13.9%), 69.4% with history of C-section, and 83.3% no hospital readmissions. Maternal outcomes included 100% mothers diagnosed with complete placenta previa and performed C-section. The mothers were mostly (69.4%) diagnosed with placenta accreta spectrum (PAS). There were 36.1% hysterectomy, 33.3% postpartum hemorrhage, 50% blood transfusions, and zero maternal mortality. Neonatal outcomes included prematurity in 80%, low birth weight (LBW) in 51.5%, while 77.1% and 85.7% of newborns had no asphyxia at 1 and 5 minutes, consecutively. Conclusion: All mothers experienced complete placenta previa, and underwent C-section with most of the mothers were diagnosed with PAS. Less than half of them needed hysterectomy intervention because other patients with focal type PAS were planned for conservative surgery. Moreover, they mostly did not have postpartum hemorrhage with half of them needed blood transfusion. There was zero maternal mortality, with most newborns experienced prematurity, LBW but no significant asphyxia.

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Maternal and neonatal outcomes in delivery with diagnosis of antepartum hemorrhage due to placenta previa at a tertiary hospital in Surabaya, Indonesia

Amru

Yuliati

Setiawan

2022

MOG

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Obstetric Outcomes of Pregnant Women with Placenta Previa: A Retrospective Comparative Study

Timur

2022

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi

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Placenta previa (PP) is one of the leading causes of severe peripartum complications that resulting in serious maternal and perinatal morbidity such as peripartum hemorrhage and preterm delivery. Herein, we aimed to compare obstetric outcomes of pregnant women with PP versus pregnant women without PP in our hospital. This retrospective case-control study was conducted on 179 pregnant women in the study group (PP group) and 626 in the control group. Outcome measures included demographic and clinical characteristics of both groups, chief complaints on admission, gestational age at birth, postpartum hemorrhage, interventional modalities to treat postpartum hemorrhage and emergency peripartum hysterectomy. Maternal age (p

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Risk factors for hysterectomy among patients with placenta previa totalis

Abstract: Objective: The aim of the study is to assess risk factors for hysterectomy among patients with placenta previa totalis (PPT). Methods

Cited by 2 publications

References 21 publications

Maternal and neonatal outcomes in delivery with diagnosis of antepartum hemorrhage due to placenta previa at a tertiary hospital in Surabaya, Indonesia

Maternal and neonatal outcomes in delivery with diagnosis of antepartum hemorrhage due to placenta previa at a tertiary hospital in Surabaya, Indonesia

Obstetric Outcomes of Pregnant Women with Placenta Previa: A Retrospective Comparative Study

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