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10.15537/smj.2016.7.13259

http://scihub22266oqcxt.onion/10.15537/smj.2016.7.13259
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C5018640!5018640!27381536
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suck abstract from ncbi


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pmid27381536      Saudi+Med+J 2016 ; 37 (7): 762-6
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  • Placenta previa: A 13 years experience at a tertiary care center in Western Saudi Arabia #MMPMID27381536
  • Abduljabbar HS; Bahkali NM; Al-Basri SF; Hachim EA; Shoudary IH; Dause WR; Mira MY; Khojah M
  • Saudi Med J 2016[Jul]; 37 (7): 762-6 PMID27381536show ga
  • Objectives:: To review cases of placenta previa in the last 13 years in a tertiary teaching hospital to identify risk factors for maternal morbidity. Methods:: A retrospective analysis of all cases of placenta previa managed at King Abdulaziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia from January 2001 to December 2013. Results:: The total number of deliveries was 55,862 deliveries, and 11,412 (20.3%) delivered by cesarean section (C/S). The charts of 230 cases diagnosed with placenta previa was reviewed, and different variables were collected and analyzed. Diagnoses were achieved in 94% of them using ultrasound. The prevalence rate of placenta previa was 4.1 per 1000 births. Cesarean section was carried out as an emergency procedure in 130 (56.5%) women and as elective in 100 (43.5%) women. Of them, 26 patients were admitted to the intensive care unit (ICU) (11.3%), all of which received blood transfusion >6 units and 22 patients had a hysterectomy for uncontrollable bleeding. Conclusion:: Placenta previa is one of the leading causes of maternal morbidity and mortality. Every hospital must have a protocol, or algorithm for the management of placenta previa. Risk factors for maternal morbidity included complete previa, history of previous C/S, emergency C/S at a gestational age of <36 weeks, and estimated blood loss >2000 ml.
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