Retrospective Evaluation of Placenta Previa Cases: A Secondary-center Experince

Abstract Aim: The aim of this study was to retrospectively evaluate the maternal and neonatal outcomes of placenta previa cases managed in our hospital. Material and methods: The records of 107 placenta previa cases delivered between 2010 and 2015 were retrospectively reviewed. Age, gravida, parity, red blood cell (RBC)-fresh frozen plasma (FFP) transfusion necessity, gestational week at birth, birth weight, 1st and 5th minute Apgar score, number of previous cesarean sections, requiring additional surgical intervention (Hypogastric artery ligation [HAL], peripartum hysterectomy) and maternal complications were examined. Results: RBC-FFP transfusion and HAL rates were significantly higher incomplete placenta previa cases than the partial placenta previa cases. RBC-TDP transfusion, HAL and peripartum hysterectomy rates were significantly higher in placenta accreata spectrum (PAS) cases compared to those cases with normal placental invasion. Prematurity risk increased in all placenta previa subgroups. Conclusion: Pregnancy complicated by placenta previa increases the risk of adverse maternal and neonatal outcomes, especially if there is a concomitant placental invasion anomaly. Keywords: Placenta previa, Placenta accreata spectrum, Hypogastric artery ligation, Peripartum hysterectomy.

Anahtar Kelimeler:

Placenta previa, Placenta accreata spectrum, Hypogastric artery ligation

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