Placenta accreta is an independent risk factor for late pre-term birth and perinatal mortality
| Autor: | Tamar Wainstock, Adi Vinograd, Offer Erez, Ofir Vinograd, Doron Dukler, Ruthy Beer-Weisel, Lena Novack, Moshe Mazor, Neta Ben-Shalom Tirosh, Batel Hamou, Vered Klaitman |
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| Rok vydání: | 2014 |
| Předmět: |
Abortion
Habitual medicine.medical_specialty Blood transfusion Placenta accreta medicine.medical_treatment Population Gestational Age Placenta Accreta Pregnancy Recurrence Risk Factors Placenta medicine Humans Risk factor education Perinatal Mortality reproductive and urinary physiology Gynecology education.field_of_study Cesarean Section Obstetrics business.industry Postpartum Hemorrhage Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Retrospective cohort study medicine.disease Placenta previa medicine.anatomical_structure embryonic structures Pediatrics Perinatology and Child Health Premature Birth Gestation Female business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 28:1381-1387 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.3109/14767058.2014.955004 |
| Popis: | This study is aimed to identify the risk factors for the development of placenta accreta (PA) and characterize its effect on maternal and perinatal outcomes.This population-based retrospective cohort study included all deliveries at our medical center during the study period. Those with placenta accreta (n = 551) comprised the study group, while the rest of the deliveries (n = 239 089) served as a comparison group.The prevalence of placenta accerta is 0.2%. Women with this complication had higher rates of ≥2 previous CS (p 0.001), recurrent abortions (p = 0.03), and previous placenta accreta [p 0.001]. The rates of placenta previa and peripartum hemorrhage necessitating blood transfusion were higher in women with placenta accreta than in the comparison group. PTB before 34 and 37 weeks of gestation was more common among women with placenta accreta (p 0.01), as was the rate of perinatal mortality (p 0.001). Placenta accreta was an independent risk factor for perinatal mortality (adj. OR 8.2; 95% CI 6.4-10.4, p 0.001) and late PTB (adj. OR 1.4; 95% CI 1.1-1.7, p = 0.002).Placenta accreta is an independent risk factor for late PTB and perinatal mortality. |
| Databáze: | OpenAIRE |
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