SavedAdd your journal

Journals / SDÜ Tıp Fakültesi Dergisi / 2024 / Cilt: 31 Sayı: 4

Relationship Between Placenta Previa and Premature Preterm Rupture of Membranes: Case-Cohort Study

Seval Yılmaz Ergani(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ETLİK ZÜBEYDE HANIM KADIN HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-7017-8854
Büşra Şahin(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0001-9800-6838
Yıldız Akdaş Reis(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ETLİK ZÜBEYDE HANIM KADIN HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-9345-6899
Sadun Sucu(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0003-3758-0136
Can Ozan Ulusoy(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0009-0005-7931-5172
Mevlüt Bucak(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0002-5035-8727
Zeynep Şeyhanlı(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0003-3924-3723
Gülşan Karabay(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0003-2567-2850
Betül Tokgöz(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0003-0202-4981
Gizem Aktemur(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0001-6824-881X
İzzet Özgürlük(Etlik Şehir Hastanesi)0000-0002-9553-9265
Cantekin İskender(UNIVERSITY OF HEALTH SCIENCES, ANKARA ETLİK ZÜBEYDE HANIM HEALTH RESEARCH CENTER FOR GYNECOLOGICAL DISEASES)0000-0003-1376-5734
Pages
324–330
Publication Date
2024-12-26
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Moreover, the interval from diagnosis to delivery was shorter, and clinical chorioamnionitis was more common in patients with PPROM and placenta previa.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to evaluate whether the prevalence of premature preterm rupture of membranes (PPROM) is higher among patients with placenta previa.
📊
Key Findings & Data:Material And Method: A retrospective screening was conducted on a total of 59,567 pregnant women who delivered at our hospital between 2016 and 2021.
💡
Conclusion & Impact:Moreover, the interval from diagnosis to delivery was shorter, and clinical chorioamnionitis was more common in patients with PPROM and placenta previa.
🔬Design:Araştırma Makalesi
📍Scope:2016 Verileri
⚙️Variables:chorioamnionitis · placenta previa · premature preterm rupture of membranes

Abstract

Objective: This study aimed to evaluate whether the prevalence of premature preterm rupture of membranes (PPROM) is higher among patients with placenta previa. Material And Method: A retrospective screening was conducted on a total of 59,567 pregnant women who delivered at our hospital between 2016 and 2021. Among the patients, 1,721 pregnant women meeting the inclusion criteria with PPROM were identified. The participants were divided into two groups: PPROM without placenta previa (control group, n=1,698) and PPROM with placenta previa (n=23). The data were analyzed subsequently. Results: The birth week of PPROMs with placenta previa was found to be earlier (p = 0.028). The time between diagnosis and birth was shorter in PPROMs with placenta previa than in the second group (p < 0.001), and there was a higher frequency of clinical chorioamnionitis in these patients (p=0.037). The prevalence of PPROM with placenta previa was 8.4%, compared to 2.88% for PPROM without placenta previa, demonstrating a statistically significant difference (p < 0.001). Conclusion: Our study found a significantly higher prevalence of PPROM in patients with placenta previa compared to those without placenta previa. Moreover, the interval from diagnosis to delivery was shorter, and clinical chorioamnionitis was more common in patients with PPROM and placenta previa.

🔖

Cite This Article

Ergani, S. Y., Şahin, B., Reis, Y. A., Sucu, S., Ulusoy, C. O., Bucak, M., Şeyhanlı, Z., Karabay, G., Tokgöz, B., Aktemur, G., Özgürlük, İ., İskender, C. (2024). Relationship Between Placenta Previa and Premature Preterm Rupture of Membranes: Case-Cohort Study. SDÜ Tıp Fakültesi Dergisi, Cilt: 31 Sayı: 4, 324–330. https://doi.org/10.17343/sdutfd.1513042

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Silver RM. Abnormal placentation: Placenta previa, vasa previa, and placenta accreta. Obstet Gynaecol 2015;126(3):654-68.
  2. Ananth CV, Smulian JC, Vintzileos AM. The effect of placenta previa on neonatal mortality: A population-based study in the United States, 1989 through 1997. Am J Obstet Gynecol 2003;188(5):1299-304.
  3. Rosenberg T, Pariente G, Sergienko R, et al. Critical analysis of risk factors and outcome of placenta previa. Arch Gynecol Obstet 2011;284:47-51.
  4. Declercq E, Menacker F, MacDorman M. Maternal risk profiles and the primary cesarean rate in the United States, 1991–2002. Am J Public Health 2006;96(5):867-72.
  5. Yan C, Deng X, Hong F. Analysis of maternal and neonatal outcome of patients with preterm prelabor rupture of membranes. J Healthc Eng 2022;2022:8705005. doi: 10.1155/2022/8705005.
  6. Lee T, Silver H. Etiology and epidemiology of preterm premature rupture of the membranes. Clin Perinatol 2001;28(4):721-34.
  7. Yoon BH, Romero R, Moon JB, et al. Clinical significance of intra-amniotic inflammation in patients with preterm labor and intact membranes. Am J Obstet Gynecol 2001;185(5):1130-6.
  8. Madan I, Romero R, Kusanovic JP, et al. The frequency and clinical significance of intra-amniotic infection and/or inflammation in women with placenta previa and vaginal bleeding: An unexpected observation. J Perinat Med 2010;38(3):275-9. doi: 10.1515/jpm.2010.001.
  9. Park C-W, Moon K, Park J, et al.The frequency and clinical significance of intra-uterine infection and inflammation in patients with placenta previa and preterm labor and intact membranes. Placenta 2009;30(7):613-8.
  10. Faiz A, Ananth C. Etiology and risk factors for placenta previa: An overview and meta-analysis of observational studies. J Matern Fetal Neonatal Med 2003;13(3):175-90.
  11. Romero R, Mazor M. Infection and preterm labor. Clin Obstet Gynecol 1988;31(3):553-84.
  12. Gómez R, Romero R, Nien JK, et al. Idiopathic vaginal bleeding during pregnancy as the only clinical manifestation of intrauterine infection. J Matern Fetal Neonatal Med 2005;18(1):31-7.
  13. Kim YM, Chaiworapongsa T, Gomez R, et al. Failure of physiologic transformation of the spiral arteries in the placental bed in preterm premature rupture of membranes. Am J Obstet Gynecol 2002;187(5):1137-42.
  14. Arias F, Rodriquez L, Rayne SC, et al. Maternal placental vasculopathy and infection: two distinct subgroups among patients with preterm labor and preterm ruptured membranes. Am J Obstet Gynecol 1993;168(2):585-91.
  15. Arias F, Victoria A, Cho K, et al. Placental histology and clinical characteristics of patients with preterm premature rupture of membranes. Obstet Gynaecol 1997;89(2):265-71.