Merhaba Misafir

Plasenta previa olgularının retrospektif değerlendirilmesi


Objective: In this study, we aimed to evaluate the maternal sociodemographic features, perinatal outcomes and obstetric risk factors in patients with placenta previa. Material and Method: In this study 71 patients with placenta previa who(opsiyonel) followed up in our clinic between January 2013 and November 2017 were evaluated retrospectively. The complications of cases such as obstetrical stories, prepartum and postpartum hemoglobin values, need of transfusion, 1st and 5th minutes APGAR scores and surgical maneuvers to provide bleeding control, placental invasion findings, in utero mort fetalis and neonatal mortality were all observed. Results: When 71 cases were evaluated; 14 (19.7%) of the cases were nulliparas, 16 (22.5%) of the cases gave birth to a child only once, 30(42.3%) of the cases gave birth two times and 11 (15.5%) of the cases gave birth three or more times. The women who had no cesarean delivery previously numbers were 38 (53.5%), whereas 32 (45%) had one or two, and one woman had three previous cesarean delivery. Mean birth weight was 2749.79±777.38 gr (980gr-4680 gr). Mean first and fifth minute APGAR scores were 7.31±1.39 and 8.24±1.33 respectively. 9 peripartum hysterectomy operation were performed due to placental invasion abnormalities. The number of patients who underwent blood tranfusion intraoperative and postoperative were 13 and 8 respectively. Conclusion: PP is currently one of the important causes of neonatal and maternal morbidity and mortality not only for preterm birth and accordingly newborn problems but also placental invasion abnormalities and maternal bleeding. In order to achive the optimal result, when there is a suspicion or antenatal diagnosis of placenta previa, delivery should be planned in tertiary centers where the surgeons are experienced in the field of peripartum hysterectomy and uterine devascularization maneuvers and interventions in the complications that may occur and where the blood products are provided easily.

Yayınlandığı Kaynak : Journal of Contemporary Medicine
  • Yıl : 2020
  • DOI : 10.16899/jcm.591664
  • Cilt : 10
  • ISSN : 2667-7180
  • Sayı : 1
  • Sayfa Aralığı : 18-22
  • IO Kayıt No : 114144
  • Yayıncı : Rabia Yılmaz