Placental location in the uterus and its roles in fetal, maternal outcome and mode of delivery

Abstract

Background: The placental location had a substantial correlation with pregnancy outcome and mode of delivery. The study aims to detect the location of the placenta in pregnant term woman and its relation to fetal and maternal health and then its affection on the mode of delivery in each type. Method: Cross-sectional study for 100 patients admitted to delivery (vaginal or C/S) in a public and private hospital in Babylon city in Iraq from January 2018 to December 2019. We check fetal wellbeing, GA (Gestational age), amount of amniotic fluid, and finally, we detect placental location. Take history about age, parity, any medical diseases for her examination such as BP, BMI, Abdominal examination, and PV. Examination. Then send for U/S to detect placental location, then detect the mode of delivery according to a pregnancy complication, fetal wellbeing, and obstetric indications after delivery check fetal weight. Results: 100 cases females evaluated for the location of placental, feto-maternal consequence, and style of delivery. Anterior placenta associate with a severe danger of diabetes mellitus that occurs during pregnancy and abruption placental. Concerning fetal consequence, an anterior placenta was significantly associated with intrauterine growth delay, while intrauterine fetal demise had no significant correlation. There is a positive correlation between fetal weight and placental location with the mode of delivery. Conclusion: Implantation of anterior placental related with a severe danger of pregnancy-induced hypertension, DM, abruption placental; intrauterine growth delay and intrauterine fetal demise also rise c/s delivery. The posterior placenta is associated significantly with preterm labor. Placental location is an essential determinant of pregnancy outcome.

Keywords: Anterior, posterior, fundal, placenta, c/s, vaginal delivery, pregnancy outcome, fetal and maternal outcome.