ASSOCIATION OF PLACENTA PREVIA WITH A HISTORY OF PREVIOUS CESARIAN DELIVERIES AND INDICATIONS FOR A POSSIBLE ROLE OF A GENETIC COMPONENT
Matalliotakis M, Velegrakis A, Goulielmos GN, Niraki E, Patelarou AE, Matalliotakis I
*Corresponding Author: Dr. Michail Matalliotakis, Venizeleio & Pananio General Hospital of Heraklion, Knossos Avenue, 71409 Heraklion, Greece. Tel: +30-281-036-8304. Mobile: +30-694-386-1582. Fax: +30-281-036-8305. E-mail: mihalismat@hotmail.com
page: 3

MATERIALS AND METHODS

This study was conducted at the Obstetric and Gynecology Department, Venizeleio General Hospital, Heraklion, Crete, and involved all cases between 2010 and 2016; written approval was obtained from all the patients. Of the 5200 deliveries, 76 women with placenta previa were included and divided into two main groups, women with or without a previous history of C-sections. Placenta mapping was done antenatally on transabdominal ultrasound and confirmed in the operating theatre. All operative procedures were entered in the operative book. A detailed history including the age, the history of previous C-sections, parity and episodes of bleeding during the pregnancy were noted. In our inclusion criteria, we selected 75 singleton pregnancies and one twin (dichorionic diamniotic) pregnancy. The primary exclusion criteria were the marginal type of placenta and the cases where medical notes were unavailable or incomplete. Additionally, all patients were evaluated for placenta acreta or percreta preoperatively. All women delivered before 37 weeks of gestation. Furthermore, based on the review of the medical database, we evaluate the coincidence of placenta previa and male fetus.



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