Risk Factors and Pregnancy Outcome of Placenta Previa at Zagazig University Hospitals | ||
| Zagazig Nursing Journal | ||
| Article 7, Volume 9, Issue 1 - Serial Number 2013, 2013, Pages 87-102 PDF (163.48 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/znj.2013.38643 | ||
| Authors | ||
| Noura Mohammed Attia1; Sanaa Ali Nour2; Amina Saad Genaid3; Eman El Said Mohamed4 | ||
| 1Demonstrator in Obstetrics and Gynecological Nursing, Faculty of Nursing, Zagazig University | ||
| 2Professor of Obstetrics and Gynecological nursing, Faculty of Nursing, Zagazig University | ||
| 3Assist. Prof. of Obstetrics and Gynecological nursing, Faculty of Nursing, Zagazig University | ||
| 4Lecturer of Obstetrics and Gynecological nursing, Faculty of Nursing, Zagazig University | ||
| Abstract | ||
| Background: Placenta previa is a major cause of third trimester hemorrhage complicating between 0.3% and 0.5% of pregnancies and accounting for significant maternal and perinatal mortality The aims of this study was to; determine the risk factors responsible for rising rates of placenta previa and compare pregnancy outcomes between women with placenta previa and those with normal placental situation. A prospective case control design was selected in carrying out this study and a representative sample of 200 parturient women (100 with placenta previa being hospitalized or none hospitalized before delivery and 100 with normally situated placenta) were recruited for this study. The tools used for data collection were; an interview questionnaire sheet, a clinical assessment form, the partograph, a summary of labor sheet and a neonatal assessment sheet. The results of the present study revealed that the risk of having placenta previa was significantly increased with increased maternal age, high gravidity, mal-presentation as well as the history of infertility and use of ART, and previous cesarean section (p=0.001). They were less likely to have pre-eclampsia, multiple gestations, exposure to smoking and previous abortion. Anterior localization was more common and complete and incomplete placenta previa constitute three fifth of the cases and there was increased risk of abnormal adherence of the placenta. It can be concluded that, placenta previa was associated with considerable maternal and fetal morbidity and mortality. The study recommended that: Early diagnosis of placenta previa, identification of risk factors, adopting recent modalities of diagnoses and management in appropriate setting and with adequate resources may help in better outcome by reducing the feto-maternal complications. | ||
| Keywords | ||
| Placenta Previa; risk factors; Outcome | ||
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