Clinical Analysis Related to Pernicious Placenta Previa and Neonatal Asphyxia
10.11969/j.issn.1673-548X.2024.05.015
- VernacularTitle:凶险性前置胎盘与新生儿窒息相关的临床分析
- Author:
Xizi WU
1
;
Yao FAN
;
Guo AI
Author Information
1. 430030 武汉,华中科技大学同济医学院附属同济医院妇产科
- Keywords:
Pernicious placenta previa;
Neonatal asphyxia;
Ultrasound;
High-risk factors;
Pregnancy outcomes
- From:
Journal of Medical Research
2024;53(5):69-73
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the ultrasonography,high-risk factors and pregnancy outcomes related to pernicious placenta previa(PPP)and neonatal asphyxia.Methods The clinical data of 144 pregnant women with PPP from Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from May 2016 to July 2020 were retrospectively analyzed.Depending on the neonatal condition,they were divided into non-asphyxia group(n=91)and asphyxia group(n=53).Mainly by prenatal ultrasound ex-amination and intraoperative diagnosis,the high-risk factors of neonatal asphyxia were analyzed with univariate and multivariate Logistic regression analysis,and the neonatal outcomes were compared between the two groups.Results Compared with the non-asphyxia group,the incidence of placenta dominated by anterior wall,complete placenta previa,premature delivery,polyhydramnios and placenta percreta were higher in the asphyxia group,and the differences were statistically significant(P＜0.05).Multivariate Logistic regression analysis showed that placenta dominated by anterior wall,premature delivery,polyhydramnios and placenta percreta were independent risk factors for neonatal asphyxia(P＜0.05,OR＞1).Compared with the non-asphyxia group,the incidence of neonatal admission was higher with lower gestational age and birth weight in the asphyxia group(P＜0.05).Conclusion The risk factors related to PPP and neonatal asphyxia are placenta dominated by anterior wall,premature delivery,polyhydramnios and placenta percreta.Pregnancy outcomes related to PPP and neonatal asphyxia are worse.
