EP15.14: An optimal timing of Caesarean delivery in placenta previa

Abstract

Elective delivery at 36-37 weeks of gestation is recommended in patients with placenta previa which is different from that of other indications of Caesarean section. Main concerns are the risks of maternal morbidities which may increase at 38-39 weeks of gestation. However, the actual risk for maternal/neonatal morbidity in placenta previa with advanced gestational age in clinical setting has not been well evaluated. The objective of this study was to determine the maternal/neonatal morbidities according to gestational age in women with placenta previa. A total of 292 women in who were delivered by Caesarean section because of placenta previa in Seoul National University Hospital were included. Out of them, 25 cases were delivered before 36 weeks of gestation and excluded. We compared maternal and neonatal morbidity between pregnant women delivered at 36-37 weeks of gestation and those at 38 weeks of gestation and more. In this series, we have no maternal and neonatal mortality. Data were analysed with fisher's exact test using SPSS, version 21. In patients with placenta previa, maternal morbidities were not different according to gestational age at delivery. However, the neonatal morbidities were worse in cases with 36-37 weeks of gestation than in those with 38-39 weeks. Supporting information can be found in the online version of this abstract Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.