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144582

Ultrasonographic Evaluation of Placental Sites and Thickness at Second Trimester and Its Correlation with Pregnancy Outcome

Article

Last updated: 03 Jan 2025

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Abstract

Background: Adverse fetal outcome has a wide spectrum of perinatal mortality and morbidity as low fetal Apgar score, admission to NICU, low birth weight, stillbirth & maternal morbidity, and mortality. The use of ultrasonography of placental sites and thickness is the most effective method to estimate the adverse pregnancy outcome. Objective: To investigate the relationship between placental sites, diameter, and thickness at the second trimester with pregnancy outcome. Patients and Methods: the current study was conducted at the Obstetrics & Gynecology Department in Shibin El Kom Teaching Hospital, on 200 pregnant women with a single fetus presenting for routine antenatal care in the second trimester, from September 2016 to August 2017. Detailed history, laboratory investigations, obstetric and ultrasound follow up study was done. Results: The mean age of all patients was 27.54±5.03 years old. Placental sites were associated with placenta previa, placenta abruption, bleeding, FGR, and preterm delivery. Also, the placental diameter was highly related to placenta previa, placental abruption, bleeding and positively correlated with age and body mass index. Regarding, the placental thickness, it was highly associated with macrosomia and negatively correlated with age, and positively correlated with GA.
Conclusion: Placental implantation at the 18th to 24th weeks can be used as being at risk for adverse outcomes. Low placental implantation sites are associated with higher frequent preterm (labor & deliveries) and lower postpartum hemorrhage. High lateral placental implantations are associated with lower Apgar scores.

DOI

10.21608/ejhm.2021.144582

Keywords

Placental site, pregnancy outcome, thickness, Second Trimester, Ultrasonography

Authors

First Name

Ibrahim Mohiy

Last Name

El-Maghraby

MiddleName

-

Affiliation

Fellow, Obstetrics & Gynecology Department, Shibin El Kom Teaching Hospital, Menoufia, Egypt

Email

ibrahim_mohie@yahoo.com

City

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Orcid

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Volume

82

Article Issue

2

Related Issue

20779

Issue Date

2021-01-01

Receive Date

2021-01-29

Publish Date

2021-01-01

Page Start

316

Page End

322

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 82_Issue 2_Pages 316-322.pdf

PDF . 684.8kB

Link

https://ejhm.journals.ekb.eg/article_144582.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=144582

Order

21

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Ultrasonographic Evaluation of Placental Sites and Thickness at Second Trimester and Its Correlation with Pregnancy Outcome

Details

Type

Article

Created At

22 Jan 2023