Role of Midtrimester Localization of the Placenta in predicting Pregnancy Outcome

Faizi, Shaweez; Pai, Muralidhar

doi:10.5005/jp-journals-10016-1087

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…Faizi S et al, conducted a prospective study on 620 women and placental location was determined by USG. 2 Placental location was divided into 5 groups -anterior, posterior, fundal, low lying depending on where > 75% of placental mass is located. 274 (44.1%) had anterior, 169 (27.2%) had posterior,98 (15.8%) had central, 61 (9.8%) had lateral and 18 (2.9%) had placenta praevia.…”

Section: Discussionmentioning

confidence: 99%

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A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome

Ghosh¹,

Ghosh²

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Fetus is dependent on placenta for supply of nutrients from mother. Objective of this study was to assess the relationship between laterality of placenta by mid-trimester ultrasonography and perinatal outcome.Methods: It was a prospective observational study conducted between June 2016 to June 2017 at Burdwan Medical College, West Bengal. Participants were uncomplicated pregnant women having 18-24 weeks gestation attending antenatal clinics and admitted in ward who underwent obstetric sonography including placental localization. Women were observed till delivery. Analysis was done for site of implantation of placenta and its correlation with perinatal outcome.Results: Total of 300 women considered for the study, 195/300 (65%) had central implantation of placenta and 105/300 (35%) had lateral type of placentation. There were 4 IUFDs (1.33%); 2 (1.03) with central placenta and 2 (1.9) with lateral placenta. Among 31 (10.33%) IUGR babies 13 (6.67%) were associated with central and 18 (17.14%) with lateral placenta. Among 27 LBW babies 16 (8.21%) were related to central placenta and 11 (10.48%) were related to lateral placenta. Among 57 SNCU admissions 26 (13.33%) were related to central placenta and 31 (29.52%) were related to lateral placenta. Average birth-weight is 2.6±0.31 kg and 2.51±0.26 kg, respectively for central and lateral placenta.Conclusions: Laterally located placenta is associated with relatively poor perinatal outcome compared to central placenta with increased rates of IUGR, IUFD and LBW babies.

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Section: Discussionmentioning

confidence: 99%

“…In women with centrally located placentas, both uterine arteries demonstrate similar resistance. 1,2 Thus, there is overall increase in resistance of placental vascular bed. Women with laterally located placenta are thus more prone to have foetuses with IUGR, IUFD and LBW.…”

Section: Introductionmentioning

confidence: 99%

A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome

Ghosh¹,

Ghosh²

2019

Int J Reprod Contracept Obstet Gynecol

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“…15,16 Faizi et al studied 620 pregnant women, 44.1% had anterior, 27.2% had posterior, 15.8% had fundal, 9.8% had lateral placentae and 2.9% had placenta previa as per the last scan done at 28 weeks. 17 Pre-eclampsia (27.9%) and antepartum hemorrhage (19.7%) were more common in lateral placenta whereas term prelabor rupture of membranes (11.2%) was more common in fundal placenta and these findings were statistically significant. The incidence of IUGR was also found to be higher in patients with lateral (16.4%) and posteriorly (16%) implanted placenta although there was no statistically significant association.…”

Section: Resultsmentioning

confidence: 89%

Study of correlation between fetomaternal outcome with placental location at a tertiary hospital

Sitimani

Sai

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: The site of implantation and location of placenta can affect the blood supply of placenta which is likely important determinant of placental blood flow and pregnancy outcome.Methods: In our study 240 pregnant women of 19-35 years, singleton ≥28 weeks underwent ultrasound examination for placental localization.Results: Majority of pregnant women were from 21-25 years age, multigravida and placental location in majority was lateral. Adverse events were PROM, preeclampsia/ eclampsia, IUGR, preterm birth was noted with lateral location of placenta.Conclusions: A significant association was noted between lateral placentation of placenta and adverse fetomaternal outcome. Ultrasound examination can be used as non-invasive predictor of adverse pregnancy and neonatal outcomes.

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“…However, in a study by Magann, no significant association was found between placental location and low APGAR scores Table 4. 12,13 Incidence of NICU admission was more for babies of the mother who had preeclampsia and also women with the lateral placenta. It was seen that babies of 13 (24.52%) women with preeclampsia and 35 (10.17%) normotensive women required NICU admission.…”

Section: Title Of Research Project: Placental Laterality As Predictor Of Preeclampsia: a Prospective Studymentioning

confidence: 99%

Lateral Placental Location as a Predictor of Preeclampsia Development: A Prospective Study

Joshi¹,

Shah²

2021

Journal of South Asian Federation of Obstetrics and Gynaecology

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Objective: To find whether placental laterality as determined by ultrasound can be used as a predictor of the development of preeclampsia and to find its correlation with severity of preeclampsia and obstetric outcome. Material and methods: Antenatal care (ANC) patients attending the ANC clinic at 18 to 24 weeks fulfilling inclusion criteria were included. The location of the placenta was determined by ultrasonography at 18 to 24 weeks. The placenta was classified as central when it is equally distributed on the left or right side of the uterus. When 75% of the placenta is to one side of the midline, it was classified as right or left lateral. All subjects were followed throughout pregnancy for the development of signs and symptoms of preeclampsia which was diagnosed as per ACOG criteria. Results: Among 397 women studied, 53 cases were diagnosed with preeclampsia, while remaining 344 women were normal. Out of 53 cases, 41 (77.3%) had mild preeclampsia, while12 (22.7%) had severe preeclampsia. Out of 397 women studied, 205 (51.63%) women had lateral placenta and 192 (48.36%) women had central placenta. Out of 205 women with lateral placenta, 38 (18.53%) women developed preeclampsia. Out of 192 women who had central placenta only 15 (7.81%) developed preeclampsia. Conclusion:Thus the present study concludes that the incidence of preeclampsia is 13.35%. The incidence of lateral placental location is 51.63%. Patients with lateral placenta show a higher incidence of development of preeclampsia that is 71.69%. Women with lateral placental location have 1.77 times greater risk of development of preeclampsia than ones with central placental location. Clinical significance: This cheap, simple, easy, and feasible investigation could be helpful not only to predict the development of preeclampsia but also to reduce its severity, maternal complications, and neonatal complications associated with it.

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Role of Midtrimester Localization of the Placenta in predicting Pregnancy Outcome

Cited by 3 publications

References 7 publications

A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome

A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome

Study of correlation between fetomaternal outcome with placental location at a tertiary hospital

Lateral Placental Location as a Predictor of Preeclampsia Development: A Prospective Study

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