• Saudi Med J · Sep 2023

    Incidence, risk factors, and maternal outcomes of major degree placenta previa: A 10-year retrospective analysis.

    • Mehad H AlQasem, Ayman H Shaamash, GhamdiDeama S AlDSAFrom the Department of Obstetrics and Gynecology (AlQasem, Shaamash, Al Ghamdi, Eskandar), College of Medicine, King Khalid University and Abha Maternity and Children's Hospital; and from the Department of Family and Community Medicine , Ahmed A Mahfouz, and Mamdoh A Eskandar.
    • From the Department of Obstetrics and Gynecology (AlQasem, Shaamash, Al Ghamdi, Eskandar), College of Medicine, King Khalid University and Abha Maternity and Children's Hospital; and from the Department of Family and Community Medicine (Mahfouz), College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia.
    • Saudi Med J. 2023 Sep 1; 44 (9): 912920912-920.

    ObjectivesTo determine the incidence, risk factors, and maternal outcomes of "major degree" placenta previa (PP)/placenta accreta spectrum (PAS) in Abha Maternity and Children's Hospital, Abha, Saudi Arabia. Secondly, to compare our findings to those of previous studies on PP/PAS in Saudi Arabia.MethodsThis is a retrospective study that included 299 patients diagnosed with major degree PP/PAS and admitted to Abha Maternity and Children's Hospital, Abha, Saudi Arabia, within 10 years (January 2012-December 2021). Also, we compared our results to the outcomes of PP/PAS patients in 6 previous Saudi studies.ResultsThe total number of deliveries was 54,341; PP minor and major degrees were diagnosed in 376 (0.69%) patients. Of them, 299 patients had PP major degree (79.5%). The pattern of main risk factors for major PP/PAS included: elder age, high parity, and previous cesarean deliveries. Nearly 30.5% had evidence of PAS on antenatal MRI (n=91). Approximately 68.5% (n=205) of patients were delivered <37 weeks. Of 299 patients, 29 (9.7%)patients had emergency cesarean hysterectomy. The maternal mortality rate was 0.3% (n=1). Generally, in many aspects, our results are comparable to similar Saudi studies on PP/PAS.ConclusionMajor degree of PP/PAS is associated with high maternal morbidity but rare mortality. Over 30 years, our patients' obstetric characteristics did not change, including both elder age and high parity. A substantial increase in the rate of cesarean deliveries is a leading cause of major PP/PAS.Copyright: © Saudi Medical Journal.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…