International Journal of Infertility & Fetal Medicine

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VOLUME 5 , ISSUE 3 ( September-December, 2014 ) > List of Articles

RESEARCH ARTICLE

Role of Midtrimester Localization of the Placenta in predicting Pregnancy Outcome

Shaweez Faizi, Muralidhar V Pai

Citation Information : Faizi S, Pai MV. Role of Midtrimester Localization of the Placenta in predicting Pregnancy Outcome. Int J Infertil Fetal Med 2014; 5 (3):87-91.

DOI: 10.5005/jp-journals-10016-1087

License: CC BY-NC 4.0

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Objective

To evaluate the role of placental location in predicting the pregnancy outcome.

Materials and methods

It was a prospective observational study conducted between September 2011 and March 2013 at a tertiary care hospital. Placental location, as determined by midtrimester ultrasound in 620 antenatal women, was divided into five groups—anterior, posterior, fundal, lateral and low lying placenta-depending on where > 75% of the placental mass was located. Outcome variables, such as antenatal complications, intrapartum events and neonatal outcome in these women were studied.

Results

Out of 620 women, 274 (44.1%) had anterior, 169 (27.2%) had posterior, 98 (15.8%) had fundal, 61 (9.8%) had lateral placentae and 18 (2.9%) had placenta previa as per the last scan done at 28 weeks. Pre-eclampsia (27.9%) and antepartum hemorrhage (19.7%) were more common in lateral placenta whereas term prelabor rupture of membranes (11.2%) was more common in fundal placenta and these findings were statistically significant. The incidence of intrauterine growth restriction (IUGR) was also found to be higher in patients with lateral (16.4%) and posteriorly (16%) implanted placenta although there was no statistically significant association.

Conclusion

Among the various placental sites of implantation, lateral location of the placenta is associated with adverse antenatal outcomes like pre-eclampsia, antepartum hemorrhage and IUGR.

How to cite this article

Faizi S, Pai MV. Role of Midtrimester Localization of the Placenta in predicting Pregnancy Outcome. Int J Infertil Fetal Med 2014;5(3):87-91.


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  1. Placenta previa, placenta accreta, abruptio placentae, and vasa previa. Creasy and Resnik's maternal fetal medicine principles and practice. 6th ed. Philadelphia: Saunders/Elsevier; 2009. p.725-737.
  2. Does the presence of a cesarean section scar influence the site of placental implantation and subsequent migration in future pregnancies. Ultrasound Obstet Gynecol 2012;40:557-561.
  3. Assessment of placental migration in midtrimester low lying placenta. J Obstet Gynecol India 2009;59:317-319.
  4. Placental location and incidence of pre-eclampsia. Ultraschall Med 1996;17:236-238.
  5. Placental site in the second trimester of pregnancy and its association with subsequent obstetric outcome. Prenat Diagn 2011;31:548-554.
  6. Role of placental laterality in the prediction of pre-eclampsia 2002.
  7. Intrauterine growth restriction and placental location. J Ultrasound Med 2007;26: 1481-1489.
  8. Placental implantation at 18 weeks and migration throughout pregnancy. South Med J 1998;91:1025-1027.
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