A RETROSPECTIVE STUDY ON PLACENTAL IMPLANTATION SITE AND MATERNAL AND FOETAL OUTCOME IN PRIMIGRAVIDA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 52
Abstract
[b]OBJECTIVE[/b]: To determine the Gestational Age at the onset of labour, the birth weight of the neonate and the mode of delivery in anterior and posterior placentation. [b]STUDY DESIGN: [/b]This is a retrospective study which was done to determine the placental implantation site at term and to determine the corresponding maternal and foetal outcomes in Primigravida who delivered at A. J. Institute of Medical Sciences Labour Theatre, Mangalore and A.J. Hospital and Research Centre Labour Theatre, Mangalore between January 2012 and January 2014. [b]RESULTS[/b]: In a sample size of 100 patients, a crucial observation was that there was no difference in the mode of delivery between either anterior or posterior placentation. (P-Value: 1.000). It was also noted that there was no significant correlation between placentation and the birth weight of the neonate (Fisher’s exact index: 3.670, P-Value: 0.295). The null hypothesis can only be weakly rejected. It was noted that Preterm labour was more common in case of anterior placentation in the study group (6% in anterior placentation as compared to 2% in posterior placentation). However, the significance of placentation in determining the onset of delivery is not definite (Fisher’s exact index: 3.301, P-value: 0.519) hence, the null hypothesis is weakly rejected. Additionally, there was no predisposition of maternal age to either anterior or posterior placentation. (Fisher’s exact index: 3.308, P-value: 0.397). [b]CONCLUSION[/b]: Placental implantation site plays no role in the determination of mode of delivery in a primigravida. Although, there is no significant data to suggest that there is a role for placental implantation site in the resultant birth weight of the neonate or the gestational age at the onset of labour, the hypothesis cannot be disapproved of.
Authors and Affiliations
Pradeep Ganiga, Samantha Mascarenhas
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