Abstract
Background: Placenta previa (PP) is an obstetric condition that provides significant complications throughout pregnancy and remains a primary contributor to maternal mortality and morbidity.
Objective: To evaluate the relationship between cervical length (CL) and obstetrical outcome in women with placenta previa (PP).
Patients and methods: This study was prospective observational research carried out on fifty women diagnosed with placenta previa.
Result: Our study shows that there was a statistically significant enhancement in the occurrence of APH, PROM, and PTL in group 1(CL≤ 30 mm) vs. group 11 (CL >30 mm) p-value 0.028, 0.023, 0.008, respectively. Significant increase in the amount of blood loss, no of blood transfusion units, placental adherence, B-Lynch, uterine artery ligation, and Internal iliac artery ligation. Cesarean hysterectomy, and total hospital stay in group I vs. group II. (p-value < .001). In predicting adverse maternal outcomes, the Best cutoff point of cervical length to predict APH was < 2.46 mm, with sensitivity (84.8%), specificity (76.5%) and accuracy (80.8%), PTL was < 2.68 mm, with sensitivity (85.2%), specificity (78.3%) and accuracy (81.8%), Placental adherence was < 2.59mm, with sensitivity (80%), specificity (95.6%) and accuracy (88.2%). Predict PROM was < 2.57 mm, with sensitivity (88.2%), specificity (78.6%), and accuracy (84.2%).
Conclusion: Shorter cervical length (CL) increases maternal morbidities like APH, PTL, PROM, placental adherence, intraoperative blood loss, and cesarean hysterectomy. Cervical length assessment aids in management, decision-making, and timely interventions for placenta previa cases.
Article Type
Original Article
Keywords
PP; CL; Placenta Previa
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Abdel hakim, Samia Fahmy; Effat, Doaa Mahmoud; and Younes, Samar Hendway Mansour
(2024)
"The Relation between Cervical Length and Maternal Outcome in Placenta Previa,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
12, Article 38.
DOI: https://doi.org/10.58675/2682-339X.2817
