Retrospective Analysis of Patients with Placenta Previa

Aim: To evaluate risk factors of patients with placenta previa and investigate management strategies. Methods: A retrospective review of medical records of 41 cases with placenta previa who were followed up in our center. The cases were evaluated according to demographic features, presence of placental invasion of the uterus, and necessity of blood transfusion. Requirement for a peripartum hysterectomy, relaparotomy rates and neonatal outcomes were also addressed. All patients with placenta previa were considered for elective surgery. Results: Eighteen patients, who did not have any sign of uterine invasion in their antenatal sonographic evaluations, were observed alike during cesarean section. In 23 patients, uterine invasion was detected by antenatal sonographic evaluations, 15 patients underwent hysterectomy due to invasion. Subsequent laparotomy was needed in four patients in whom hysterectomy was performed. Out of 15 patients, who underwent hysterectomy, 9 had placenta accreata, 2 had placenta percreata, and 2 had placenta increata. Organ-preserving treatment was performed in 8 patients who had a suspicious uterine invasion owing to their antenatal sonographic evaluations. Conclusion: In our study, abnormal placental invasion was predicted by antenatal sonographic findings. Multidisciplinary approach is required for patients with placenta previa to determine appropriate mode and timing of delivery

Peripartum Management of a Pregnant with Glanzmann’s Thrombasthenia: A Case Report

In this study, we aimed to present the case of a patient with Glanzmann’s thrombasthenia (GT) which is a hereditary disorder characterized by defective platelet function. A twenty-six-year old woman with GT who underwent cesarean section due to labor arrest and persisting vaginal bleeding despite receiving 18 unit of random platelet concentrates, 6 units of apheresis platelet concentrates, and 2 units of erythrocyte suspension. Since patients with GT are at high risk for massive bleeding during and after delivery, they should give birth under close monitoring in advanced healthcare centers where experienced hematologists are available.(The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 208-11

Pregnancy Outcome of Multiparous Women Aged over 40 Years

Objective. The aim of this study was to evaluate the effect of maternal age on prenatal and obstetric outcome in multiparaous women. Materials and Methods. A retrospective case control study was conducted, including women aged 40 years and over (study group, n=97) who delivered at 20 week’s gestation or beyond and women aged 20–29 years (control group, n=97). Results. The mean age of women in the study group was 41.2±1.7 years versus 25.4±2.3 years in the control group. Advanced maternal age was associated with a significantly higher rate of hypertension, diabetes mellitus, fetal complication, and 5-minute Apgar scores <7 (P<0.05). Caeserean section rate, incidence of placental abruption, preterm delivery, and neonatal intensive care unit admission were more common in the older group, but the differences were not statistically significant. Conclusions. Advanced maternal age is related to maternal and neonatal complications