Predictors of Perinatal Mortality Associated with Placenta Previa and Placental Abruption: An Experience from a Low Income Country
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A retrospective cohort study design was used to assess predictors of perinatal mortality in women with placenta previa and abruption between January 2006 and December 2011. Four hundred thirty-two women (253 with placenta previa and 179 with placental abruption) were eligible for analysis. Binary logistic regression, Kaplan-Meier survival curve, and receiver operating characteristic (ROC) curve were used. On admission, 77% of the women were anaemic (<12 gm/dL) with mean haemoglobin level of 9.0 ± 3.0 gm/dL. The proportion of overall severe anaemia increased from about 28% on admission to 41% at discharge. There were 50% perinatal deaths (neonatal deaths of less than seven days of age and fetal deaths after 28 weeks of gestation). In the adjusted odds ratios, lengthy delay in accessing hospital care, prematurity, anaemia in the mothers, and male foetuses were independent predictors of perinatal mortality. The haemoglobin level at admission was more sensitive and more specific than prematurity in the prediction of perinatal mortality. The proportion of severe anaemia and perinatal mortality was probably one of the highest in the world.
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Timely identification and transfer of patients with placenta previa and other placental disorders have the potential to significantly improve patient outcomes, as rates of up to 50% perinatal mortality have been described among patients with antepartum bleeding in low income countries.
“Timely identification and transfer of patients with placenta previa and other placental disorders have the potential to significantly improve patient outcomes as rates of up to 50% perinatal mortality have been described amongst patients with antepartum bleeding in low income countries.”
From Artificial intelligence in obstetric ultrasound: A scoping review. (2023) · cites this paper as [139]
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Influential
- Authors
- Berhan, Y.
- Affiliations
- Hawassa University (ET)
- Corresponding author
- Berhan, Yifru
- ORCID
- Berhan, Yifru
- Venue
- Journal of Pregnancy
- Publisher
- Hindawi Limited
- Published
- 2014
- Volume
- 2014
- Pages
- 1-10
- ISSN
- 2090-2727 (ISSN-L)
- 2090-2735
- PMC
- PMC4066949
- OpenAlex
- W2009542042
- Cited by
- 29
- References
- 22
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 1 · 2021: 2 · 2020: 4 · 2019: 5 · 2016: 3 · 2015: 1
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Pregnancy (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- perinatal mortality, placenta previa, placental abruption, anemia in pregnancy, hemoglobin levels, preterm birth, low-income countries
- MeSH terms
- Abruptio Placentae, Adult, Anemia, Ethiopia, Female, Humans, Infant, Newborn, Infant, Premature, Male, Placenta Previa, Poverty, Pregnancy, Retrospective Studies, Risk Factors, ROC Curve, Sex Factors, Cohort Studies, Logistic Models, Odds Ratio, Premature Birth, Kaplan-Meier Estimate, Perinatal Mortality, Young Adult, Time-to-Treatment
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