Circumvallate Placenta: Associated Clinical Manifestations and Complications—A Retrospective Study

Obstetrics and Gynecology International - Tập 2014 - Trang 1-5 - 2014
Hanako Taniguchi1, Shigeru Aoki1, Kentaro Sakamaki2, Kentaro Kurasawa1, Mika Okuda1, Tsuneo Takahashi1, Fumiki Hirahara3
1Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, 4-57 Urafunecyou, Minami-ku, Yokohama, Kanagawa 232-0024, Japan
2Department of Biostatistics and Epidemiology, Yokohama City University Graduate School of Medicine and University Medical Center, Yokohama, Japan
3Department of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama, Japan

Tóm tắt

Aims.To analyze the pregnancy outcomes of circumvallate placenta retrospectively and to predict circumvallate placenta during pregnancy based on its clinical features.Methods.The pregnancy outcomes of 92 women with circumvallate placenta who delivered live singletons at a tertiary care center between January 2000 and September 2012 were compared with those of 9057 controls.Results.Women with circumvallate placenta were associated with higher incidences of preterm delivery (64.1%), placental abruption (10.9%), emergency cesarean section (45.6%), small-for-gestational age (36.9%), neonatal death (8.9%), neonatal intensive care unit admission (55.4%), and chronic lung disease (33.9%). When vaginal bleeding during the second trimester and premature chemical rupture of membranes (PCROM) were both used as predictive factors for circumvallate placenta, the sensitivity was 28.8% and specificity was 99.9%.Conclusion.With circumvallate placenta, pregnancy outcomes were poor and had characteristic clinical manifestations. In women with both vaginal bleeding and PCROM during pregnancy, circumvallate placenta should be strongly suspected.

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Obstetrics and Gynecology International

Tập 2014

1-5

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