Risk factors, maternal complications and neonatal outcome of major placenta praevia

الموضوعات

طب

الملخص

This is a prospective, descriptive study conducted amongtwo different groups of patients in two different countries.The first group was carried at AKMICH in K.S.A during theperiod between June 1999 to July 2003. The second group was atthree big hospitals in Khartoum State (SUH, KTH, OMH) in theperiod between January 2005 to August 2005.The aim of the study was to assess the risk factors of PP,maternal complications and neonatal outcome and to perform acomparison between the two groups of the study.In the first group of the study the incidence of PP and PAwere 5 in 1000 and 0.5 in 1000 pregnancies respectively, while inthe second group the incidence were 2.8 per 1000 pregnanciesand 0.3 per 1000.An association between PP and high parity was found inboth studied (P = 0.006 in the first group and P = 0.000 in thesecond group). Also the incidence of PP was directly proportionalto the maternal age in the first and second groups (P = 0.001, andP = 0.004 respectively).Previous C/S was found to be a risk factor for PP in thesecond group (P = 0.038), while high percentage of the first grouphad previous one or more C/S (48.4%).In both groups there was high rate of maternalcomplications. In the first group obstetric haemorrhage (32.8%),caesarean hysterectomy (6.3%), BT (32.8%), hemoglobin less than10 gm/dl (53.1%), prolonged hospital stay (mean 6.52 ± 1.76days). In the second group the rate was 63.5%, 13.5%, and 61.5%and mean was 10.0 ± 1.12 respectively. There was one maternaldeath in the second group (1.9%), while in the first group nomaternal death was found.In both studies PP was associated with adverse perinataloutcome. In the first group there was a significantly higher rates ofprematurity, admission to SCBU, NICU, Apgar score less than 7 in5 minutes (P = 0.000; P = 0.001 and P = 0.001) respectively.There was no significant difference in perinatal mortality inthis group (P = 0.089).The second group also showed significantly higher rates ofprematurity, admission to SCBU, NICU, Apgar score <7 at 5minutes and increased perinatal mortality (P = 0.000; P = 0.000;P = 0.007 and P = 0.000) respectively.The study concluded that PP is associated with adversematernal and neonatal outcome. Increased maternal age, highparity and previous C/S were risk factors.

روابط وملفات

التعريف والنوع

رقم الوثيقة

0e3df9e8-bab4-490c-9be3-07965cc7572c

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1638845_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"A Salam Gerais","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"Gamal A Elgani Ahmed Gerais","title_ar":"اعداد","title_en":"Preparation"}]

اللغة

English

المصدر والدورية

اسم المصدر

Risk factors, maternal complications and neonatal outcome of major placenta praevia

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

A Salam Gerais

الإعداد

Gamal A Elgani Ahmed Gerais

الاقتباسات الببليوغرافية