Placenta Previa and Adverse Neonatal Outcomes in A Tertiary Center

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dc.contributor.authorBestel, Melih
dc.contributor.authorAlpay, Verda
dc.contributor.authorEkiz, Ali
dc.contributor.authorBestel, Aysegul
dc.contributor.authorKaraaslan, Onur
dc.contributor.authorYildirim, Dogukan
dc.contributor.authorPolat, İbrahim
dc.date.accessioned2025-03-26T15:54:28Z
dc.date.available2025-03-26T15:54:28Z
dc.date.issued2024
dc.departmentİstanbul Esenyurt Üniversitesi
dc.description.abstractObjective: Abnormal localization of the placenta with complete or partial closure of the cervix is called placenta previa. Placenta previa occurs in approximately 0.3-0.5% of pregnancies. In this study, we aimed to determine the risk factors and adverse fetal outcomes by comparing the neonatal outcomes of patients who underwent cesarean section for placenta previa with those of patients who underwent cesarean section for other indications. Method: Patients with singleton pregnancies diagnosed with placenta previa were retrospectively analyzed. Placenta previa, risk factors, and adverse neonatal outcomes were estimated using multivariate logistic regression models. Results: A total of 61,110 deliveries were analyzed, and 632 deliveries (288 patients, 344 controls) were included in the study. The prevalence of placenta previa was 0.47%. Advanced maternal age [odds ratio (OR)=3.03], multigravida (?5) (OR=2.31), previous abortion (OR=1.58) and curettage (OR=2.32) were significant risk factors for placenta previa. However, these patients had an increased risk of 1st minute Apgar score <7 (OR=1.59) and neonatal intensive care unit (NICU) admission (OR=2.15). At the same time, the risk of Apgar score <7 at 1 min (OR=5.59) and 5 min (OR=3.94) and NICU admission (OR=28.47) increased in infants of patients with placenta previa <34 weeks. Newborns in the >37 weeks gestational age group with placenta previa were more likely to have a lower birth weight (OR=4.21) and an Apgar score <7 at 5 min (OR=1.89). Conclusion: Pregnancies with a diagnosis of placenta previa were associated with an increased risk of serious fetal outcomes compared with cesarean deliveries for all other indications, regardless of delivery timing.
dc.identifier.doi10.4274/BMB.galenos.2024.2024-03-029
dc.identifier.endpage113
dc.identifier.issn2547-9431
dc.identifier.issue2
dc.identifier.startpage106
dc.identifier.trdizinid1273492
dc.identifier.urihttps://doi.org/10.4274/BMB.galenos.2024.2024-03-029
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1273492
dc.identifier.urihttps://hdl.handle.net/20.500.14704/541
dc.identifier.volume9
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofBağcılar Tıp Bülteni
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20250326
dc.titlePlacenta Previa and Adverse Neonatal Outcomes in A Tertiary Center
dc.typeArticle

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