Maternal and Fetal Outcome of Placenta Previa Patients Attending Ain Shams University Maternity Hospital -Prospective Study

Ahmed K. Awad, S. Habib, D. Mansour
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Abstract

Methods:A prospective study was conducted in Ain shams Maternity Hospital, in the period between Sep '18 and Feb '19.Outcome measures:Maternal outcome measures included: Estimated blood loss, Amount of blood transfusion, Mode of delivery, Complications, pre and postoperative hemoglobin level, Postoperative fever, Postoperative wound infection, ICU admission.Neonatal outcome measures included: Neonatal weight, APGAR score, Prematurity, NICU admission, IUFD.ResultsMean age (31.82 yrs), gravidity (4.06), parity (2.71), previous CS deliveries (2.52). Other RF: EC normal(42.4%), moderately depressed (40%), severely depressed(17.6%). At 5 minutes; normal(85.9%) moderately depressed(10.6%), severely depressed(3.5%). NICU admission(22.4%). IUFD (5.9%). ConclusionPlacenta previa patients at risk of numerous maternal and neonatal morbidities, maternal morbidities include life threatening haemorrhage, caesarean hysterectomy, blood component transfusion, prolonged hospital stay and ICU admission. Neonatal morbidities include premature delivery, low birth weight, intrauterine foetal death and NICU admission.
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艾因夏姆斯大学产科医院前置胎盘患者的母体和胎儿结局--前瞻性研究
方法:于2018年9月至2019年2月在艾因沙姆斯妇产医院进行前瞻性研究。结局指标:产妇结局指标包括:估计失血量、输血量、分娩方式、并发症、术前术后血红蛋白水平、术后发热、术后伤口感染、入住ICU。新生儿结局指标包括:新生儿体重、APGAR评分、早产、NICU入院、IUFD。结果平均年龄(31.82岁),妊娠(4.06),胎次(2.71),既往CS分娩(2.52)。其他RF: EC正常(42.4%),中度抑郁(40%),重度抑郁(17.6%)。5分钟;正常(85.9%)、中度抑郁(10.6%)、重度抑郁(3.5%)。NICU住院(22.4%)。IUFD(5.9%)。结论前置胎盘患者存在多种孕产妇和新生儿并发症的危险,孕产妇并发症包括危及生命的大出血、剖宫产、血液成分输血、延长住院时间和入住ICU。新生儿发病率包括早产、低出生体重、宫内死胎和新生儿重症监护病房入院。
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