STUDY OF PLACENTAL LOCALISATION AND PREGNANCY OUTCOME AT A MEDICAL COLLEGE IN NORTH INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 9
Abstract
BACKGROUND Placenta fulfils many important roles as it is the interface between mother and foetus. Now-a-days screening ultrasonography (USG) of large proportion of pregnant women is undertaken, at least one obstetric ultrasonography for gestational age, amniotic fluid volume, foetal anomaly survey & placental location is done. Curiosity arises in the mind that; Are these placental implantation sites predictive of any adverse pregnancy outcome? The aim of this study was to find the association of placental location on the outcomes of pregnancy. Survival of the baby and mean birth weight of the baby were taken as measures of pregnancy outcomes. MATERIALS AND METHODS This prospective observational study was conducted in the Department of Obstetrics and Gynaecology, Punjab Institute of Medical Sciences, Jalandhar, Punjab from August 2016 till July 2017 and included all pregnant patients, with at-least one ultrasonographic report and delivered in PIMS. In total, 1000 cases were included in the study. We collected numerous antenatal, peripartum and post-natal variables of the included patients and birth weight of the babies. Using ultrasonography, we categorised each placenta as anterior, posterior and lateral. Comparison of placental location and pregnancy outcome was done using chi-square for categorical data and using one-way analysis of variance for quantitative variables, taking p value less than 0.05 as statistically significant. RESULTS During the study period, we included 1000 pregnant females, mean maternal age was 26.51 ± 4.25 years, mean period of gestation was 38.08 ± 2.30 weeks. The placenta was located anteriorly in 67%, posteriorly in 31% and laterally in 2% . We did not find any significant association between the location of the placenta and mortality of baby born to them (p value = 0.88). We found the mean baby weight to be significantly different among the three types of placental localizations (p value = 0.037). CONCLUSION There is a significant association between the location of the placenta and mean birth weight of the baby. Future studies should be done on larger populations at multiple centres.
Authors and Affiliations
Cheema H. K, Rajiv Arora, Harshdeep Joshi
Keywords
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- EP ID EP411236
- DOI 10.14260/jemds/2018/258
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