Determining emergency caesarean risk factors in placenta previa cases: a prospective cohort study
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
EDRA S.p.A
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective. The aim of the current study was to determine the emergency caesarean section risk factors for patient with placenta previa. Materials and Methods. A total of 98 placenta previa cases were enrolled the current prospective cohort study between November 2018-June 2019. The time, number and frequency of vaginal bleeding episodes, emergency caesarean section requirement, presence of adhesive pathologies was recorded. Results. The mean cervical length was 35.7 (± 8.3) mm. Patients with presence of vaginal bleeding before the 28th week (OR 11 (95%CI 1.85-65.07); p < 0.001); participants who had two or more bleeding occurrences (OR 7.39 (95%CI 1.83-29.80); p = 0.001); patients with cervical length measurements < 30 mm (OR 2.91 (95% CI 0.64-13.14); p = 0.039) had higher risk of emergency caesarean section. Emergency caesarean section rate was 12%. No relation was shown between the emergency caesarean section and invasion pathologies in cases with placenta previa (p = 0.241). Conclusions. The risk of emergency caesarean section is high in patients who had a vaginal bleeding before the 28th gestational week, had two or more bleeding episodes throughout their pregnancy and patients with cervical length was less than 30 mm. © The Authors.
Açıklama
Anahtar Kelimeler
Emergency caesarean section, invasion anom-alies, placenta previa, preterm birth, adult, Article, birth weight, cervical length measurement, cesarean section, cohort analysis, emergency surgery, female, gestational age, hospitalization, human, menstrual cycle, placenta previa, pregnancy, prospective study, risk assessment, risk factor, transvaginal echography, vagina bleeding
Kaynak
Italian Journal of Gynaecology and Obstetrics
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
35
Sayı
2
