MATERNAL COMPLICATIONS WITH PLACENTA PREVIA

Joan M. G. Crane; Michiel C. Van den Hof; Linda Dodds; B. Anthony Armson; Robert Liston

doi:10.1055/s-2000-9269

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 2000; Volume 17(Number 02): 101-106
DOI: 10.1055/s-2000-9269

MATERNAL COMPLICATIONS WITH PLACENTA PREVIA

Joan M.G. Crane¹ , Michiel C. Van den Hof² , Linda Dodds² , B. Anthony Armson² , Robert Liston²

¹Department of Obstetrics & Gynecology, Memorial University of Newfoundland, St. John's, Newfoundland, Canada;
²Department of Obstetrics and Gynecology, Dalhousie University, Halifax, Nova Scotia, Canada

Abstract

ABSTRACT

The purpose of this study is to describe the maternal complications of placenta previa. A population-based retrospective cohort study including all women delivered in the province of Nova Scotia, Canada from 1988 to 1995 was performed. Patient information was obtained from the Nova Scotia Atlee Perinatal Database and maternal complications were described for all women undergoing cesarean delivery. Prognostic factors for the risk of hysterectomy in woman with placenta previa were analyzed by multiple logistic regression. During the 8-year period, 308 cases of placenta previa were identified in 93,996 deliveries (0.33%). Maternal complications included hysterectomy [relative risk (RR) = 33.26], antepartum bleeding (RR = 9.81), intrapartum (RR = 2.48), and postpartum (RR = 1.86) hemorrhages, as well as blood transfusion (RR = 10.05), septicemia (RR = 5.55), and thrombophlebitis (RR = 4.85). Risk factors for need of hysterectomy in women with placenta previa include the presence of placenta accreta and previous cesarean delivery.

KEYWORD

Placenta - previa - maternal

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Referenzen

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