Document Detail

Maternal and perinatal morbidity resulting from placenta previa.
MedLine Citation:
PMID:  4038547     Owner:  NLM     Status:  MEDLINE    
One hundred forty-seven cases of partial or complete placenta previa from 1975 to 1982 were reviewed. A history of prior cesarean section was associated with a significant increase in maternal morbidity, including massive hemorrhage, placenta accreta, and hysterectomy. Despite tocolysis and transfusions to delay delivery, nearly two-thirds of the patients were delivered before 36 weeks' gestation. Onset of bleeding before 20 weeks' gestation was associated with a very poor fetal prognosis. The perinatal mortality rate was 81 of 1000. The overall incidence of respiratory distress syndrome was 22%; this was a major cause of neonatal mortality and morbidity. There was a statistically significant correlation between antepartum maternal hemorrhage and the need for neonatal transfusion, and between the neonatal anemia and the amount of intrapartum maternal blood loss.
P M McShane; P S Heyl; M F Epstein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  65     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1985 Feb 
Date Detail:
Created Date:  1985-03-07     Completed Date:  1985-03-07     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  176-82     Citation Subset:  AIM; IM    
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MeSH Terms
Blood Transfusion
Cesarean Section
Delivery, Obstetric
Fetal Death
Gestational Age
Infant, Newborn
Infant, Newborn, Diseases / etiology
Labor Presentation
Middle Aged
Placenta Previa / complications*
Uterine Hemorrhage / etiology,  therapy

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