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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Caesarian Section for Placenta Praevia: Does Booking Status Affect Maternofetal Outcome?
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Caesarian Section for Placenta Praevia: Does Booking Status Affect Maternofetal Outcome?

机译：胎盘Praevia的剖腹产科：预订状态会影响母体胎儿结局吗？

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Background: Placenta praevia accounts for significant maternal morbidity and perinatal morbidity and mortality. Despite advances in blood transfusion technique and surgical procedure, abnormal placentation still remains a difficult challenge for obstetricians. Objective: To determine the influence of booking status on the fetal and maternal outcome among parturients with placenta praevia that underwent caesarian delivery. Methodology: This was a comparative and retrospective study between booked and unbooked subjects with significant placenta praevia that were delivered by caesarian section between January 1st 2004 and December 31st 2008 with respect to maternal and fetal outcome. Result: Out of 14,344 deliveries during study period, 123 cases of placenta praevia that underwent caesarian delivery were identified giving a prevalence rate of 0.86%. 49 subjects were booked while 74 were unbooked. There was no statistically significant difference between booked and unbooked cases with respect to risk factors (30.6% of booked and 23% of unbooked), X2(4) = 7.203, P = 0.126 and the mean blood loss at surgery (870.4 ± 486.9 ml in booked versus 779.7 ± 380.96 ml in unbooked), X2(1) = 0.202, P = 0.653. However, antepartum transfusion (12.2% booked versus 34.7% unbooked) and postpartum transfusion (51% booked versus 72% unbooked) showed statistically significant difference, X2(1) = 9.744, P = 0.002. One maternal death occurred amongst the unbooked cases and none among the booked cases. Statistically significant differences were also noted in the apgar score at 1 minute X2(3) = 15.528, P = 0.001 and 5 minutes X2(3) = 12.912, P = 0.005 respectively. More babies died in the unbooked group (19) compared to two (2) in the booked mothers. Conclusion: Unbooked status in placenta previa significantly increases the risk for antepartum and postpartum transfusion, is associated with higher mortality, increased preterm delivery, poorer apgar scores and higher perinatal mortality rate.
机译：背景：前置胎盘占孕产妇发病率，围产期发病率和死亡率的重要原因。尽管输血技术和手术方法有了进步，但是异常胎盘对于产科医生仍然是一个困难的挑战。目的：确定预订状态对接受剖腹产的胎盘前胎的产妇的胎儿和母亲结局的影响。方法：这是对2004年1月1日至2008年12月31日期间由剖腹产分娩的有重大胎盘早产的已预订和未预订受试者进行的比较和回顾性研究，涉及母婴结局。结果：在研究期间的14344例分娩中，鉴定出123例进行了剖腹产的前置胎盘病例，患病率为0.86％。预订了49位受试者，而未预订74位。在预订和未预订的病例之间，危险因素（预订的30.6％和未预订的23％），X2（4）= 7.203，P = 0.126和手术时平均失血量（870.4±486.9 ml的预订量为779.7±380.96毫升，未预订的量为X2（1）= 0.202，P = 0.653。但是，产前输血（预订量为12.2％，未预订量为34.7％）和产后输血（预订量为51％，未预订量为72％）显示出统计学上的显着差异，X2（1）= 9.744，P = 0.002。在未登记的病例中发生了一名产妇死亡，在未登记的病例中没有发生。在1分钟X2（3）= 15.528，P = 0.001和5分钟X2（3）= 12.912，P = 0.005时，apgar得分也有统计学上的显着差异。未预订的组中有19个婴儿死亡，而预订的母亲中有2（2）个。结论：前置胎盘的未预订状态显着增加了产前和产后输血的风险，与更高的死亡率，增加的早产，较差的apgar评分和更高的围产期死亡率相关。

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