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CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(01): 009-013
DOI: 10.1055/s-0040-1721355
Original Article
Obstetrics/High Risk Pregnancy

Is it Possible to Predict Massive Bleeding in Nulliparous Women with Placenta Previa?

Gokcen Orgul 
1   Department of Perinatology, University of Health Sciences, Ankara, Turkey
,
Sule Goncu Ayhan 
1   Department of Perinatology, University of Health Sciences, Ankara, Turkey
,
Gulhan Cetinkaya Saracoglu 
1   Department of Perinatology, University of Health Sciences, Ankara, Turkey
,
Aykan Yucel 
1   Department of Perinatology, University of Health Sciences, Ankara, Turkey
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Abstract

Objective We evaluated risk factors to determine if there were specific risk factors that could predict massive bleeding in nulliparous women with placenta previa.

Methods The participants were classified into two groups. Women with a calculated blood loss ≥ 1,000 mL were included in the massive bleeding group. Women without any signs or symptoms related with hypovolemia or with a calculated bleeding volume < 1,000 mL were categorized into the non-massive bleeding group.

Results There were 28 patients (40.6%) with massive bleeding and 41 cases (59.4%) with non-massive bleeding. The calculated blood loss and number of cases that required red cell transfusions were statistically different between the groups (< 0.005 and 0.002, respectively). There were no statistically significant differences in terms of maternal or fetal factors, placental location, or delivery characteristics between the two groups.

Conclusion We could not determine the predictive features for massive hemorrhage based on clinical features, delivery features, or placental location.

Keywords

cesarean section - nulliparity - placenta previa - postpartum hemorrhage - uterine bleeding

Contributors

All of the authors contributed with the project and data interpretation, the writing of the article, critical review of the intellectual content, and with the final approval of the version to be published.




Publication History

Received: 16 April 2020

Accepted: 30 September 2020

Article published online:
29 January 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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