THE CLINICAL AND PARACLINICAL FEATURES AND TREATMENT OUTCOMES OF PLACENTA PREVIA AT A THAI NGUYEN HOSPITAL

Nguyen Hong Quang1, Pham My Hoai2
1 A Thai Nguyen Hospital
2 University of Medicine and Pharmacy, Thai Nguyen University

Nội dung chính của bài viết

Tóm tắt

Objective: To describe clinical and paraclinical characteristics and outcomes of managing pregnant women with placenta previa at A Thai Nguyen Hospital. 


Methods: A cross-sectional descriptive study of 84 pregnant women with placenta previa based on clinical and ultrasound findings, with a gestational age of 28 weeks or more, conducted from 01 June 2022 to 31 May 2025 at A Thai Nguyen Hospital. 


Results:  Placenta previa is most common in pregnant women aged 25–34 years old, accounting for 56.0%, 72.6% were multigravida, 64.3% were previous cesarean. Clinical features included vaginal bleeding in 59.5% of all cases, 47.6% had complete placenta previa. The cesarean delivery rate was 95.2%. X-stitch sutures at the placental attachment site, accounting for 58.8%. The mean gestational age at delivery was 37.2 ± 1.9 weeks.


Conclusion: Vaginal bleeding is a common symptom of placenta previa. The rate of successful hemostasis in the study was high (95.0%).

Chi tiết bài viết

Tài liệu tham khảo

1. Tran Bang Huyen, Review of clinical characteristics, paraclinical findings, and management of placenta previa in pregnant women with previous cesarean scar at the National Hospital of Obstetrics and Gynecology in 2012. Hanoi Medical University, 2013.
2. Lam Duc Tam, Ly Thi My Tien, Pham Dac Loc. Rate of placenta previa types and some risk factors at Can Tho City Maternity Hospital, 2019-2021. Journal of Obstetrics and Gynecology. 2023;21(3):15-21.
3. Le Hoai Chuong. Study on management of patients with placenta previa cases at the National Hospital of Obstetrics and Gynecology from 01/01/2012 to 31/12/2013. Report of the 13th Viet Nam-France-Asia-Pacific Obstetrics and Gynecology Conference in 2013.
4. Nguyen Ngoc Hoang Mai, Study on clinical characteristics, paraclinical findings, and treatment outcomes of placenta previa at Phu Yen Obstetrics and Pediatrics Hospital, Hue University of Medicine and Pharmacy; 2018.
5. Adere A, Mulu A, Temesgen F. Neonatal and Maternal Complications of Placenta Praevia and Its Risk Factors in Tikur Anbessa Specialized and Gandhi Memorial Hospitals: Unmatched Case-Control Study. Journal of Pregnancy. 2020;2020:5630296.
6. Truong Thi Linh Giang, Tran Thi My Chi. Study on clinical characteristics, paraclinical findings, and pregnancy outcomes of placenta previa cases at the Department of Obstetrics, Hue University of Medicine and Pharmacy Hospital. Journal of Obstetrics and Gynecology. 2023;21(3):22-7.
7. Nguyen Thi Hong NMH, Vu Ngoc Huyen, Nguyen Thu Huyen, Nguyen Phuong Sinh,. Treatment results of placenta previa cases at Thai Nguyen Central Hospital. Viet Nam Journal of Medicine. 2025;551(Special topic).
8. Ngo Thuy Huong, Study on prevalence, related factors, and evaluation of management outcomes of placenta previa at An Giang Obstetrics and Pediatrics Hospital, 2021–2022. Specialty II thesis, Can Tho University of Medicine and Pharmacy; 2022.
9. Đang Hoang Le, Treatment results of placenta previa at Nghe An Obstetrics and Pediatrics Hospital, Hanoi Medical University; 2024.
10. Kumari U, Naniwal A, Rani V, Chandat R, Yadav S, Pipal DK. A Study of Clinical Characteristics, Demographic Characteristics, and Fetomaternal Outcomes in Cases of Placenta Previa: An Experience of a Tertiary Care Center. Cureus. 2022;14(12):e32125.