Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study
Aims. To analyze the pregnancy outcomes of circumvallate placenta retrospectively and to predict circumvallate placenta during pregnancy based on its clinical features. Methods. The pregnancy outcomes of 92 women with circumvallate placenta who delivered live singletons at a tertiary care center bet...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2014/986230 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566996951105536 |
|---|---|
| author | Hanako Taniguchi Shigeru Aoki Kentaro Sakamaki Kentaro Kurasawa Mika Okuda Tsuneo Takahashi Fumiki Hirahara |
| author_facet | Hanako Taniguchi Shigeru Aoki Kentaro Sakamaki Kentaro Kurasawa Mika Okuda Tsuneo Takahashi Fumiki Hirahara |
| author_sort | Hanako Taniguchi |
| collection | DOAJ |
| description | Aims. To analyze the pregnancy outcomes of circumvallate placenta retrospectively and to predict circumvallate placenta during pregnancy based on its clinical features. Methods. The pregnancy outcomes of 92 women with circumvallate placenta who delivered live singletons at a tertiary care center between January 2000 and September 2012 were compared with those of 9057 controls. Results. Women with circumvallate placenta were associated with higher incidences of preterm delivery (64.1%), placental abruption (10.9%), emergency cesarean section (45.6%), small-for-gestational age (36.9%), neonatal death (8.9%), neonatal intensive care unit admission (55.4%), and chronic lung disease (33.9%). When vaginal bleeding during the second trimester and premature chemical rupture of membranes (PCROM) were both used as predictive factors for circumvallate placenta, the sensitivity was 28.8% and specificity was 99.9%. Conclusion. With circumvallate placenta, pregnancy outcomes were poor and had characteristic clinical manifestations. In women with both vaginal bleeding and PCROM during pregnancy, circumvallate placenta should be strongly suspected. |
| format | Article |
| id | doaj-art-dfad365328b143ea85102c9fae620808 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-dfad365328b143ea85102c9fae6208082025-02-03T01:02:41ZengWileyObstetrics and Gynecology International1687-95891687-95972014-01-01201410.1155/2014/986230986230Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective StudyHanako Taniguchi0Shigeru Aoki1Kentaro Sakamaki2Kentaro Kurasawa3Mika Okuda4Tsuneo Takahashi5Fumiki Hirahara6Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanDepartment of Biostatistics and Epidemiology, Yokohama City University Graduate School of Medicine and University Medical Center, Yokohama, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, JapanDepartment of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama, JapanAims. To analyze the pregnancy outcomes of circumvallate placenta retrospectively and to predict circumvallate placenta during pregnancy based on its clinical features. Methods. The pregnancy outcomes of 92 women with circumvallate placenta who delivered live singletons at a tertiary care center between January 2000 and September 2012 were compared with those of 9057 controls. Results. Women with circumvallate placenta were associated with higher incidences of preterm delivery (64.1%), placental abruption (10.9%), emergency cesarean section (45.6%), small-for-gestational age (36.9%), neonatal death (8.9%), neonatal intensive care unit admission (55.4%), and chronic lung disease (33.9%). When vaginal bleeding during the second trimester and premature chemical rupture of membranes (PCROM) were both used as predictive factors for circumvallate placenta, the sensitivity was 28.8% and specificity was 99.9%. Conclusion. With circumvallate placenta, pregnancy outcomes were poor and had characteristic clinical manifestations. In women with both vaginal bleeding and PCROM during pregnancy, circumvallate placenta should be strongly suspected.http://dx.doi.org/10.1155/2014/986230 |
| spellingShingle | Hanako Taniguchi Shigeru Aoki Kentaro Sakamaki Kentaro Kurasawa Mika Okuda Tsuneo Takahashi Fumiki Hirahara Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study Obstetrics and Gynecology International |
| title | Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study |
| title_full | Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study |
| title_fullStr | Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study |
| title_full_unstemmed | Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study |
| title_short | Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study |
| title_sort | circumvallate placenta associated clinical manifestations and complications a retrospective study |
| url | http://dx.doi.org/10.1155/2014/986230 |
| work_keys_str_mv | AT hanakotaniguchi circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy AT shigeruaoki circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy AT kentarosakamaki circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy AT kentarokurasawa circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy AT mikaokuda circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy AT tsuneotakahashi circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy AT fumikihirahara circumvallateplacentaassociatedclinicalmanifestationsandcomplicationsaretrospectivestudy |