Pregnancies Complicated by Placental Abruption Occured at <34 weeks Compared with ≥34 weeks
Eastern Journal of Medicine, cilt.28, sa.4, ss.693-697, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 4
- Basım Tarihi: 2023
- Doi Numarası: 10.5505/ejm.2023.09699
- Dergi Adı: Eastern Journal of Medicine
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, Veterinary Science Database, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.693-697
- Anahtar Kelimeler: near term, Placental abruption, placental pathology, preterm, term
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Our aim was to compare perinatal outcomes of pregnancies complicated by placental abruption in preterm with near-term and term period. A retrospective case-control study was conducted in singleton pregnancies complicated by placental abruption after 20 weeks of gestation. Information extracted from the obstetric records included demographic information, obstetric history, gestational age, maj or risk factors for placental abruption, perinatal outcomes, and macroscopic and microscopic histologic analysis of the placenta and results compared between groups. Of the 74 cases of placental abruption, 46 cases (62%) occurred at preterm period (<34 wee ks of gestation) and 28 cases (38%) at near term or term period (≥34 weeks of gestation). There was no significant difference between groups in terms of obstetric history, risk factors for placental abruption and perinatal outcomes (p>0.05). Macroscopically, the incidence of couvelaire uterus was significantly higher after 34 weeks of gestation (p<0.05), while that extent of placental separation wa s similar between groups (p>0.05). The incidence of histological chorioamnionitis and/or deciduitis in the preterm group was significantly higher than that in the near term and term group (p<0.05), while that of placental thrombosis, infarction and necrosis were similar between groups (p>0.05). The present results suggest that the possible processes leading to placental abruption in p reterm deliveries are different from those in near-term and term deliveries.