E-ISSN 2577-5669
 

Original Research 


Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience

Samera Al Basri*, Ettidal Al Jahdali.

Abstract
Background: Placenta previa with and without accreta spectrum are among the most serious obstetric conditions that needs a multidisciplinary team-work to achieve best maternal outcome. We reviewed our experience over 21 years at an academic tertiary hospital before and after establishment of placenta previa team
Objective: To study the experience of a single academic center managing patients with placenta previa and placenta accreta spectrum over two decades.
Design: Retrospective chart review
Patients and Methods: This study included all cases with a confirmed diagnosis of placenta previa and/or placenta accreta spectrum that were managed at King Abdulaziz University Hospital from 2001 to 2021. Paper and electronic chart reviews and a search of the birth registry book were performed for all cases.
Main Outcome Measures: Maternal morbidity and mortality due to abnormal placentation
Sample Size: 521 patients
Results: The establishment of a placenta previa team led to an increased prevalence of placenta previa, from 4 to 13.32 in 1000 deliveries, without increased maternal morbidity or mortality. Furthermore, it enhanced patient experience and resulted in satisfactory maternal outcomes.
Conclusion: Management of placenta previa and placenta accreta spectrum by a well-coordinated team was cost-effective and markedly reduced maternal morbidity and morbidity. The involvement of this team also improved patient experience, especially in cases in which high-risk interventions were required.
Limitations: Retrospective, single-center study; lack of statistical analysis; lack of a validated tool to differentiate treatment strategies

Key words: Placenta previa, placenta acrreta spectrum, prevalence, management, and maternal morbidity and mortality


 
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Pubmed Style

Basri SA, Jahdali EA. Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. J Complement Med Res. 2022; 13(4): 98-102. doi:10.5455/jcmr.2022.13.04.20


Web Style

Basri SA, Jahdali EA. Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. https://www.jocmr.com/?mno=112173 [Access: November 03, 2022]. doi:10.5455/jcmr.2022.13.04.20


AMA (American Medical Association) Style

Basri SA, Jahdali EA. Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. J Complement Med Res. 2022; 13(4): 98-102. doi:10.5455/jcmr.2022.13.04.20



Vancouver/ICMJE Style

Basri SA, Jahdali EA. Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. J Complement Med Res. (2022), [cited November 03, 2022]; 13(4): 98-102. doi:10.5455/jcmr.2022.13.04.20



Harvard Style

Basri, S. A. & Jahdali, . E. A. (2022) Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. J Complement Med Res, 13 (4), 98-102. doi:10.5455/jcmr.2022.13.04.20



Turabian Style

Basri, Samera Al, and Ettidal Al Jahdali. 2022. Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. Journal of Complementary Medicine Research, 13 (4), 98-102. doi:10.5455/jcmr.2022.13.04.20



Chicago Style

Basri, Samera Al, and Ettidal Al Jahdali. "Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience." Journal of Complementary Medicine Research 13 (2022), 98-102. doi:10.5455/jcmr.2022.13.04.20



MLA (The Modern Language Association) Style

Basri, Samera Al, and Ettidal Al Jahdali. "Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience." Journal of Complementary Medicine Research 13.4 (2022), 98-102. Print. doi:10.5455/jcmr.2022.13.04.20



APA (American Psychological Association) Style

Basri, S. A. & Jahdali, . E. A. (2022) Maternal outcomes after placenta previa and its spectrum at a single Saudi academic tertiary care center: 21-year experience. Journal of Complementary Medicine Research, 13 (4), 98-102. doi:10.5455/jcmr.2022.13.04.20