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Abstract
RISK FACTORS ASSOCIATED WITH PLACENTA PREVIA
Hasan Shama*, Mohammad Alnukari and Loai Hassan
ABSTRACT
Background: Placenta previa is the cause of one-third of cases of vaginal bleeding in the second and third trimesters with relative risk of some morbidities in women and neonates. Objective: Our purpose was to define the clinical risk factors associated with placenta previa. Materials and Methods: This is Prospective Case-Control study conducted in the Department of Obstetrics and Gynaecology in Tishreen University Hospital – Lattakia- Syria from January 2019 to January 2020. All pregnant women with gestational age >28 weeks were included in the study. Results: A total of 95 cases of placenta previa were included in the study and compared with 95 healthy pregnant women. Mean maternal age was 32.5 ±3.9 years in the group of cases versus 29.2 ±4.1 in control group, p:0.001. Major risk factors for occurrence of placenta previa were: advanced maternal age (OR:1.7 [0.8-3.6],p:0.03), multiparous (OR:3 [0.7-6.1],p:0.001), previous abortions with curettage(OR: 3.2[1.2- 6.5],p:0.01), previous cesarean section (OR:5 [2.1-11.6],p:0.002), and pathologic presentation(OR:3.5 [1.3-7.9],p:0.003). Conclusion: Identifying the risk factors associated with placenta previa is essential to reduce the potential serious complications and guiding management.
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