Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania
Background and Objective. Placenta previa (PP) is a potential risk factor for obstetric hemorrhage, which is a major cause of fetomaternal morbidity and mortality in developing countries. This study aimed to determine frequency, risk factors, and adverse fetomaternal outcomes of placenta previa in N...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2017/5936309 |
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| author | Elizabeth Eliet Senkoro Amasha H. Mwanamsangu Fransisca Seraphin Chuwa Sia Emmanuel Msuya Oresta Peter Mnali Benjamin G. Brown Michael Johnson Mahande |
| author_facet | Elizabeth Eliet Senkoro Amasha H. Mwanamsangu Fransisca Seraphin Chuwa Sia Emmanuel Msuya Oresta Peter Mnali Benjamin G. Brown Michael Johnson Mahande |
| author_sort | Elizabeth Eliet Senkoro |
| collection | DOAJ |
| description | Background and Objective. Placenta previa (PP) is a potential risk factor for obstetric hemorrhage, which is a major cause of fetomaternal morbidity and mortality in developing countries. This study aimed to determine frequency, risk factors, and adverse fetomaternal outcomes of placenta previa in Northern Tanzania. Methodology. A retrospective cohort study was conducted using maternally-linked data from Kilimanjaro Christian Medical Centre birth registry spanning 2000 to 2015. All women who gave birth to singleton infants were studied. Adjusted odds ratios (ORs) with 95% confidence intervals for risk factors and adverse fetomaternal outcomes associated with PP were estimated in multivariable logistic regression models. Result. A total of 47,686 singleton deliveries were analyzed. Of these, the frequency of PP was 0.6%. Notable significant risk factors for PP included gynecological diseases, alcohol consumption during pregnancy, malpresentation, and gravidity ≥5. Adverse maternal outcomes were postpartum haemorrhage, antepartum haemorrhage, and Caesarean delivery. PP increased odds of fetal Malpresentation and early neonatal death. Conclusion. The prevalence of PP was comparable to that found in past research. Multiple independent risk factors were identified. PP was found to have associations with several adverse fetomaternal outcomes. Early identification of women at risk of PP may help clinicians prevent such complications. |
| format | Article |
| id | doaj-art-413feaeae39846bb8aafcdff0de7cd31 |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-413feaeae39846bb8aafcdff0de7cd312025-02-03T06:08:00ZengWileyJournal of Pregnancy2090-27272090-27352017-01-01201710.1155/2017/59363095936309Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern TanzaniaElizabeth Eliet Senkoro0Amasha H. Mwanamsangu1Fransisca Seraphin Chuwa2Sia Emmanuel Msuya3Oresta Peter Mnali4Benjamin G. Brown5Michael Johnson Mahande6Kilimanjaro Christian Medical University College, Moshi, TanzaniaDepartment of Epidemiology & Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, TanzaniaKilimanjaro Christian Medical University College, Moshi, TanzaniaDepartment of Epidemiology & Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, TanzaniaKilimanjaro Christian Medical University College, Moshi, TanzaniaDepartment of Global Health, Weill Cornell Medical College, New York, NY, USADepartment of Epidemiology & Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, TanzaniaBackground and Objective. Placenta previa (PP) is a potential risk factor for obstetric hemorrhage, which is a major cause of fetomaternal morbidity and mortality in developing countries. This study aimed to determine frequency, risk factors, and adverse fetomaternal outcomes of placenta previa in Northern Tanzania. Methodology. A retrospective cohort study was conducted using maternally-linked data from Kilimanjaro Christian Medical Centre birth registry spanning 2000 to 2015. All women who gave birth to singleton infants were studied. Adjusted odds ratios (ORs) with 95% confidence intervals for risk factors and adverse fetomaternal outcomes associated with PP were estimated in multivariable logistic regression models. Result. A total of 47,686 singleton deliveries were analyzed. Of these, the frequency of PP was 0.6%. Notable significant risk factors for PP included gynecological diseases, alcohol consumption during pregnancy, malpresentation, and gravidity ≥5. Adverse maternal outcomes were postpartum haemorrhage, antepartum haemorrhage, and Caesarean delivery. PP increased odds of fetal Malpresentation and early neonatal death. Conclusion. The prevalence of PP was comparable to that found in past research. Multiple independent risk factors were identified. PP was found to have associations with several adverse fetomaternal outcomes. Early identification of women at risk of PP may help clinicians prevent such complications.http://dx.doi.org/10.1155/2017/5936309 |
| spellingShingle | Elizabeth Eliet Senkoro Amasha H. Mwanamsangu Fransisca Seraphin Chuwa Sia Emmanuel Msuya Oresta Peter Mnali Benjamin G. Brown Michael Johnson Mahande Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania Journal of Pregnancy |
| title | Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania |
| title_full | Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania |
| title_fullStr | Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania |
| title_full_unstemmed | Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania |
| title_short | Frequency, Risk Factors, and Adverse Fetomaternal Outcomes of Placenta Previa in Northern Tanzania |
| title_sort | frequency risk factors and adverse fetomaternal outcomes of placenta previa in northern tanzania |
| url | http://dx.doi.org/10.1155/2017/5936309 |
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