Effect of cesarean scar on placental location and postpartum hemorrhage

Authors

  • Rida Noaman Tishreen University
  • Hasan Saleh Tishreen University
  • Jihad Ayoub Tishreen University

Abstract

Ø      * Aim of the study:To determine if there is a relationship between previous cesarean scar and placental location .

To determine the relationship between the placental location and postpartum hemorrhage .

  • Materials and methods:

This study was conducted on 328 pregnant women with previous cesarean section admitted to Tishreen University Hospital in Lattakia 2021-2022,who fulfilled the study conditions and criteria.

Ultrasound examinations were performed at gestational week 28-30 , and placental location was recorded .

Data on maternal age ,parity ,delivery mode , PPH , retained placenta were obtained for all women .

Outcome measures were PPH (more than 1,000 mL) and retained placenta .

* Results:

  • The study showed :
  • The overall incidence of PPH was 14.3% .
  • The overall incidence of retained placenta was 2.7% .
  • Twenty-one women (15.6%) with anterior placenta had PPH compared to 19 (11.9%) with posterior or fundal placenta . the adjusted OR was 1.3% , but the difference was not statistically significant .
  • One woman (0.75%) with anterior placenta had retained placenta compared to 6 (3.77%) with posterior or fundal placenta . the adjusted OR was 0.19% , but the difference was not statistically significant .
  • 100% of women with placenta previa had PPH , and 66.6% of women with placenta previa had retained placenta .

*Conclusion: women with previous cesarean section delivery had an increased risk for PPH and retained placenta .

The anterior placental location in women with previous cesarean section increased the risk for PPH without increasing the risk for retained placenta .

The placenta previa in women with previous cesarean section increased the risk for PPH and retained placenta .

Published

2023-12-03

How to Cite

1.
نعمان ر, حسن صالح, جهاد ايوب. Effect of cesarean scar on placental location and postpartum hemorrhage. Tuj-hlth [Internet]. 2023Dec.3 [cited 2024Apr.23];45(5):473-82. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/15807