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
