Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome
Aim. To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas. Method. A retrospective cohort study was conducted in women who underwent caesarean section for major placenta praevia in a tertiary unive...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/270120 |
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| author | Abdul Ghani Nur Azurah Zakaria Wan Zainol Pei Shan Lim Mohd Nasir Shafiee Nirmala Kampan Wan Syahirah Mohsin Norfilza Mohd Mokhtar Muhammad Abdul Jamil Muhammad Yassin |
| author_facet | Abdul Ghani Nur Azurah Zakaria Wan Zainol Pei Shan Lim Mohd Nasir Shafiee Nirmala Kampan Wan Syahirah Mohsin Norfilza Mohd Mokhtar Muhammad Abdul Jamil Muhammad Yassin |
| author_sort | Abdul Ghani Nur Azurah |
| collection | DOAJ |
| description | Aim. To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas. Method. A retrospective cohort study was conducted in women who underwent caesarean section for major placenta praevia in a tertiary university hospital from January 2007 till December 2013. Medical records were reviewed. Result. Among 243 with major placenta praevia, 56 (23.0%) were primigravidas and 187 (77.0%) were nonprimigravidas. Factors associated with placenta praevia in the primigravidas were history of assisted conception (P=0.02) and history of endometriosis (P=0.01). For maternal outcomes, the nonprimigravidas required earlier delivery than primigravidas (35.76 ± 2.54 weeks versus 36.52 ± 1.95 weeks, P=0.03) and had greater blood loss (P=0.04). A vast majority of the primigravidas had either posterior type II or type III placenta praevia. As for neonatal outcomes, the Apgar score at 1 minute was significantly lower for the nonprimigravidas (7.89 ± 1.72 versus 8.39 ± 1.288.39 ± 1.28, P=0.02). Conclusion. This study highlighted that endometriosis and assisted conception were highly associated with placenta praevia in primigravida. Understanding the pregnancy outcomes of women with placenta praevia can assist clinicians in identifying patients who are at higher risk of mortality and morbidity. Identifying potential risk factors in primigravida may assist in counseling and management of such patients. |
| format | Article |
| id | doaj-art-551e421ea45842edb3d25575a7f562d3 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-551e421ea45842edb3d25575a7f562d32025-02-03T01:03:38ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/270120270120Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy OutcomeAbdul Ghani Nur Azurah0Zakaria Wan Zainol1Pei Shan Lim2Mohd Nasir Shafiee3Nirmala Kampan4Wan Syahirah Mohsin5Norfilza Mohd Mokhtar6Muhammad Abdul Jamil Muhammad Yassin7Department of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaDepartment of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaDepartment of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaDepartment of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaDepartment of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaDepartment of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaUKM Molecular Biology Institute, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaDepartment of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, MalaysiaAim. To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas. Method. A retrospective cohort study was conducted in women who underwent caesarean section for major placenta praevia in a tertiary university hospital from January 2007 till December 2013. Medical records were reviewed. Result. Among 243 with major placenta praevia, 56 (23.0%) were primigravidas and 187 (77.0%) were nonprimigravidas. Factors associated with placenta praevia in the primigravidas were history of assisted conception (P=0.02) and history of endometriosis (P=0.01). For maternal outcomes, the nonprimigravidas required earlier delivery than primigravidas (35.76 ± 2.54 weeks versus 36.52 ± 1.95 weeks, P=0.03) and had greater blood loss (P=0.04). A vast majority of the primigravidas had either posterior type II or type III placenta praevia. As for neonatal outcomes, the Apgar score at 1 minute was significantly lower for the nonprimigravidas (7.89 ± 1.72 versus 8.39 ± 1.288.39 ± 1.28, P=0.02). Conclusion. This study highlighted that endometriosis and assisted conception were highly associated with placenta praevia in primigravida. Understanding the pregnancy outcomes of women with placenta praevia can assist clinicians in identifying patients who are at higher risk of mortality and morbidity. Identifying potential risk factors in primigravida may assist in counseling and management of such patients.http://dx.doi.org/10.1155/2014/270120 |
| spellingShingle | Abdul Ghani Nur Azurah Zakaria Wan Zainol Pei Shan Lim Mohd Nasir Shafiee Nirmala Kampan Wan Syahirah Mohsin Norfilza Mohd Mokhtar Muhammad Abdul Jamil Muhammad Yassin Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome The Scientific World Journal |
| title | Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome |
| title_full | Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome |
| title_fullStr | Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome |
| title_full_unstemmed | Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome |
| title_short | Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome |
| title_sort | factors associated with placenta praevia in primigravidas and its pregnancy outcome |
| url | http://dx.doi.org/10.1155/2014/270120 |
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