Placental location and obstetrical-neonatal outcomes: A retrospective study.
birth weight
cesarean delivery
location
neonatal outcome
placenta
pregnancy outcome
preterm birth
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
revised:
11
06
2022
received:
27
02
2022
accepted:
20
06
2022
pubmed:
25
6
2022
medline:
20
1
2023
entrez:
24
6
2022
Statut:
ppublish
Résumé
To explore the potential association of lateral placentation with pregnancy outcome. The database of a tertiary medical center was searched for women who gave birth to a singleton neonate from 2012 to 2020 for whom placental location was documented during antepartum sonographic examination. Clinical data were compared between patients with a central (anterior/posterior/fundal) or lateral placenta using standard statistics. The primary outcome measure was neonatal birthweight, and secondary outcome measures were pregnancy complications and mode of delivery. The cohort included 12 306 women: 11 608 (94%) with a central placenta and 698 (5.6%) with a lateral placenta. The lateral placenta group had higher rates (P < 0.05) of prior and current cesarean delivery, assisted delivery, and preterm birth. On multivariate regression analyses, placental location (adjusted odds ratio [aOR], 1.36; 95% confidence interval [CI], 1.11-1.66) and maternal age (aOR, 1.02; 95% CI, 1.01-1.03) were associated with risk of preterm birth. Lateral placenta (aOR, 1.22; 95% CI, 1.02-1.47), maternal age (aOR, 1.07; 95% CI, 1.06-1.08), parity (aOR, 0.32; 95% CI, 0.28-0.35), and prior cesarean delivery (aOR, 12.00; 95% CI, 10.60-13.60) were associated with risk of current cesarean delivery. The findings suggest that lateral placentation may pose a risk of preterm birth and cesarean delivery compared with central placentation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
641-645Informations de copyright
© 2022 International Federation of Gynecology and Obstetrics.
Références
da Cunha Castro EC, Popek E. Abnormalities of placenta implantation. APMIS. 2018;126(7):613-620.
Granfors M, Stephansson O, Endler M, Jonsson M, Sandström A, Wikström AK. Placental location and pregnancy outcomes in nulliparous women: a population-based cohort study. Acta Obstet Gynecol Scand. 2019;98(8):988-996.
Fung TY, Sahota DS, Lau TK, Leung TY, Chan LW, Chung TK. Placental site in the second trimester of pregnancy and its association with subsequent obstetric outcome. Prenat Diagn. 2011;31(6):548-554.
Salafia CM, Charles AK, Maas EM. Placenta and fetal growth restriction. Clin Obstet Gynecol. 2006;49(2):236-256.
Kofinas AD, Penry M, Swain M, Hatjis CG. Effect of placental laterality on uterine artery resistance and development of preeclampsia and intrauterine growth retardation. Am J Obstet Gynecol. 1989;161(6):1536-1539.
Tarzamni MK, Kefayati M, Maleki M, Fouladi DF. Placental laterality and uterine blood flow at 20-40 weeks' gestation in low-risk pregnancies. J Obstet Gynaecol. 2016;36(1):24-30.
Derwig I, Lythgoe DJ, Barker GJ, et al. Association of placental perfusion, as assessed by magnetic resonance imaging and uterine artery Doppler ultrasound, and its relationship to pregnancy outcome. Placenta. 2013;34(10):885-891.
Sohlberg S, Mulic-Lutvica A, Lindgren P, Ortiz-Nieto F, Wikström AK, Wikström J. Placental perfusion in normal pregnancy and early and late preeclampsia: a magnetic resonance imaging study. Placenta. 2014;35(3):202-206.
Hafner E, Metzenbauer M, Stümpflen I, Waldhör T, Philipp K. First trimester placental and myometrial blood perfusion measured by 3D power Doppler in normal and unfavourable outcome pregnancies. Placenta. 2010;31(9):756-763.
Francis ST, Duncan KR, Moore RJ, Baker PN, Johnson IR, Gowland PA. Non-invasive mapping of placental perfusion. Lancet. 1998;351(9113):1397-1399.
Zia S. Placental location and pregnancy outcome. J Turk Ger Gynecol Assoc. 2013;14(4):190-193.
Seckin KD, Cakmak B, Karsli MF, et al. Is lateral localisation of placenta a risk factor for adverse perinatal outcomes? J Obstet Gynaecol. 2015;35(7):696-698.
Soleimani Z, Hashemi N, Soleimani A, Naemi M. Investigating the association between placental site in the second trimester of pregnancy and pregnancy outcomes in mother and infant: a retrospective study. Int J Pediatr. 2021;9(3):13237-13242.
Sarkar M, Mandal J, Roy D, Sakar SK. A prospective study on placental lateralisation in an Indian rural medical college. J Evid Based Med Healthc. 2020;7(21):1034-1037.
Ghosh A, Ghosh M. A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2020;9(1):200-205.
Dagklis T, Tsakiridis I, Zavlanos A, Athanasiadis A, Dinas K, Sotiriadis A. The effect of placental laterality at 20-24 gestational weeks on uterine artery Doppler indices, fetal growth and preeclampsia. J Matern Fetal Neonatal Med. 2022;35(13):2493-2498.
Kalanithi LE, Illuzzi JL, Nossov VB, et al. Intrauterine growth restriction and placental location. J Ultrasound Med. 2007;26(11):1481-1489.
Porto L, Aviram A, Jackson R, et al. Lateral placentation and adverse perinatal outcomes. Placenta. 2020;101:1-3.
Devarajan K, Kives S, Ray JG. Placental location and newborn weight. J Obstet Gynaecol Can. 2012;34(4):325-329.
Bhalerao AV, Kulkarni S, Somalwar S. Lateral placentation by ultrasonography: a simple predictor of preeclampsia. J South Asian Feder Obst Gynae. 2013;5(2):68-71.
Dollberg S, Haklai Z, Mimouni FB, Gorfein I, Gordon ES. Birth weight standards in the live-born population in Israel. Isr Med Assoc J. 2005;7(5):311-314.
Granfors M, Sandström A, Stephansson O, Belachew J, Axelsson O, Wikström AK. Placental location and risk of retained placenta in women with a previous cesarean section: a population-based cohort study. Acta Obstet Gynecol Scand. 2020;99(12):1666-1673.
Rosen T. Placenta accreta and cesarean scar pregnancy: overlooked costs of the rising cesarean section rate. Clin Perinatol. 2008;35(3):519-529.
Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol. 2003;21(3):220-227.
Naji O, Daemen A, Smith A, et al. Does the presence of a cesarean section scar influence the site of placental implantation and subsequent migration in future pregnancies: a prospective case-control study. Ultrasound Obstet Gynecol. 2012;40(5):557-561.