A Case Report of Asymptomatic Placenta Previa: Diagnosis and Management
Clinical Medicine Research
Volume 2, Issue 1, January 2013, Pages: 1-5
Received: Dec. 26, 2012; Published: Jan. 10, 2013
Views 4227      Downloads 231
Authors
Zarbo G., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Pafumi C., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Giannone T. T., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Giunta M. R., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Carbonaro A., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Ciotta L., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Mayada Chammas, American University of Beirut-Lebanon
Fawzi Chammas, American University of Beirut-Lebanon
Genovese F., Istituto Di Patologia Ostetrica e Ginecologica, Azienda Ospedaliera Universitaria Policlinico – Vittorio Emanuele, Catania – Direttore
Article Tools
PDF
Follow on us
Abstract
Placenta previa is a condition derived to an abnormal implantation of the embryos in the lower uterine segment, a place that predisposes to persistent uterine bleeding because of the development of new vessels and because it is a poorly contractile area of the uterus. Risk factors for placents previa are: maternal age, number of pregnancies, cigarette smoking, multiple pregnancies, previus surgery on the uterus including caesarean section, previous placenta previa. Usually placenta previa becomes symptomatic in the third trimester of pregnancy and it is associated with adverse maternal and neonatal outcomes. The Authors present a case of 38 years old woman whit complete placenta previa who comes to the ER of their hospital complex with plenty of vaginal bleeding; a caesarean section is performed in emergency. There is not doubt that the diagnosis of placenta previa is mainly ultrasound. Clinical and instrumental controls (ultrasound) in these patients will certainly have a frequency different from the other pregnancies and in many cases will require hospitalization. The mode of delivery is in most cases by emergency or elective Caesarean. The Authors based the management of the reported case on the review of the last 20-year International Literature, according to which, in the presence of this type of previa, an Early Term Birth (ETB) at 37 weeks and 0 days is associated with a better maternal and neonatal prognosis if compared to both a Late Preterm Birth (LPTB) at 34-36 weeks or a Term Birth (TB) at 38-39 weeks.
Keywords
Placenta Previa, Pregnancy, Lower Uterine Segment
To cite this article
Zarbo G., Pafumi C., Giannone T. T., Giunta M. R., Carbonaro A., Ciotta L., Mayada Chammas, Fawzi Chammas, Genovese F., A Case Report of Asymptomatic Placenta Previa: Diagnosis and Management, Clinical Medicine Research. Vol. 2, No. 1, 2013, pp. 1-5. doi: 10.11648/j.cmr.20130201.11
References
[1]
Mabie WC. "Placenta previa" Department of Obstetrics and Gynecology, University of Tennessee, Memphis. Clin Perinatol, 1992 Jun;19(2):425-35.
[2]
Jang DG, We JS, Shin JU, Choi YJ, Ko HS, Park IY, Shin JC. "Maternal outcomes according to placental position in placental previa". Int J Med Sci 2011; 8(5): 439-44.
[3]
Gorodeski IG, Neri A, Bahary CM, "Placenta previa, the identification of low and high risk subgroups". Eur J Obstet Gynecol Reprod Biol, 1985 Sep;20(3):133-43.
[4]
Rosenberg T, Pariente G, Sergienko R, Wiznitzer A, Sheiner E. "Critical analysis of risk factor and outcome of placenta previa." Arch Gynecol Obstet 2011 Jul;284(1):47-51.
[5]
Zaideh SM, Abu-Heija AT, El-Jallad MF. "Placenta previa and accrete: analysis of a two-year experience". Gynecol Ostet Invest, 1998 Aug;46(2):96-8.
[6]
Liang-Kun M, Na N, Jian-Qiu Y, Xu-Ming B, Jun-Tao L. "Clinical analysis of placenta previa complicated with previous caesarean section". Chin Med Sci J, 2012 Sep;27(3):129-33.
[7]
Shi H, Pi P, Ding Y. "Diagnosis of placenta previa accrete by two dimensional ultrasonography and color Doppler in patients with caesarean section". Zhong Nan Da Xue Xue Bao Yi Xue Ban, 2012 Sep;37(9):939-43.
[8]
Chen YF, Ismail H, Chou MM, Lee FY, Lee JH, Ho ES. "Exaggerated placenta site in placenta previa: an imaging differential diagnosis of placenta accreta, placental site trophoblastic tumor and molar pregnancy. Taiwan J Obstet Gynecol, 2012 Sep;51(3):440-2.
[9]
Neilson JP. "Interventions for suspected placenta praevia". Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD001998. DOI: 0.1002/14651858.CD001998.
[10]
Allahdin S, Voigt S, Htwe TT. "Management of placenta previa and accrete". J Obstet Gynaecol, 2011;31(1):1-6.
[11]
Oyelese KO, Turner M, Lees C, Campbell S. "Vasa previa: an avoidable obstetric tragedy". Obstet Gynecol Surv, 1999 Feb;54(2):138-45.
[12]
Palacios-Jaraquemada JM. "Caesarean section in cases of placenta previa and accrete". Best Pract Res clin Obstet Gynaecol, 2012 Nov 2. pii: S1521-6934(12)00164-2.
[13]
Zlatnik MG, Little SE, Kohli P, et al. When should women with placenta previa be delivered? (A decision analysis). Reprod Med 2010;55:373-381.
[14]
Oyelese Y, Smulian JC. " Placenta previa, placenta accrete and vasa previa". Obstet Gynecol, 2006 Apr;107(4):927-41.
[15]
Wing DA, Paul RH, Millar LK. "Management of the symptomatic placenta previa: a randomized, controlled trial of inpatient versus outpatient expectant management". Am J Obstet Gynecol, 1996 Oct;175(4 Pt 1):806-11.
[16]
Bahar A, Abusham A. Eskandar M, Sobande A, Alsunaidi M. "Risk factor and pregnancy outcome in different types of placenta previa". J Obstet Gynecol Can2009; 31(2): 126-131.
[17]
Stafford IA, Dashe JS, Shivvers SA, et al. "Ultrasonographic cervical length and risk of hemorrhage in pregnancies with placenta previa". Obstet Gynecol 2010;116:595-600.
[18]
Blackwell Sc. "Timing of Delivery for women with stable placenta previa". Semin Perinatol 2011;35(5):249-51.
[19]
Fukushima K, Fujiwara A, Anami A, Fujita Y, Yumoto Y, Sakai A, Morokuma S, Wake N. "Cervical length predicts placental adherence and massive hemorrhage in placenta previa". J Obstet Gynaecol Res 2012; 38(1):192-7.
[20]
Besinger RE, Moniak CW, Paskiewicz LS, Fisher SG, Tomich PG. "The effect of tocolytic use in the management of symptomatic placenta previa". Am J Obstet Gynecol, 1995 Jun;172(6):1770-5.
[21]
RobinsonBK, Grobman WA. Effectiveness of timing strategies for delivery of individuals with placenta previa and accreta. Obstet Gynecol 2010; 116(4):835-42.
[22]
McIntire DD, Leveno KJ. Neonatal mortality and morbidity rates in late preterm births compared with births at term. Obstet Gynecol 2008;111(1):35-41.
[23]
Frederiksen MC, Glassenberg R, Stika CS. Placenta previa: a 22-year analysis. Am J Obstet Gynecol 1999; 180(6 Pt 1):1432-7.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186