18 November 2024 : Clinical Research
Impact of Prior Cesarean Delivery on Pregnancy Outcomes and Hemorrhage Risks in Complete Placenta Previa: A Decade-Long Retrospective Analysis
Xuemin Wei12ABCDEF, Weiwei Cheng12ACDE*DOI: 10.12659/MSM.944432
Med Sci Monit 2024; 30:e944432
Table 1 Characteristics of complete placenta previa according to prior cesarean section.
| Variable | Prior cesarean section group (n=156) | No-prior cesarean section group (n=320) | P value |
|---|---|---|---|
| Age at delivery (years) | 36 (3.7) | 34.2 (4.2) | 0.012 |
| ≤34 | 56 (35.9%) | 162 (50.6%) | 0.004 |
| 35–39 | 72 (46.2%) | 125 (39.1%) | |
| ≥40 | 28 (17.9%) | 33 (10.3%) | |
| Primipara | 0 (0.0) | 242 (75.6%) | <0.001 |
| Multipara | 156 (100.0%) | 78 (24.4%) | |
| Number of miscarriages (times) | 1.4 (1.2) | 0.8 (1.0) | <0.001 |
| ≤2 | 112 (71.8%) | 297 (92.8%) | <0.001 |
| ≥3 | 44 (28.2%) | 23 (7.2%) | |
| ART pregnancy | 6 (3.8%) | 96 (30.0%) | <0.001 |
| Prior hysteroscopic surgery | 7 (4.5%) | 28 (8.8%) | 0.094 |
| History of uterine fibroids surgery | 3 (1.9%) | 18 (5.6%) | 0.065 |
| History of endometriosis | 13 (8.3%) | 45 (14.1%) | <0.001 |
| Gestational diabetes | 28 (17.9%) | 43 (13.4%) | 0.195 |
| Gestational hypertension | 4 (2.6%) | 9 (2.8%) | 1.000 |
| Gestational age (weeks) | 36.1 (1.7) | 36.8 (1.3) | 0.015 |
| Antenatal bleeding | 32 (20.5%) | 52 (16.3%) | 0.252 |
| Emergency cesarean section | 36 (23.1%) | 57 (17.8%) | 0.174 |
| Continuous variables are expressed as mean (standard deviation). Categorical variables are presented as number (proportions). Statistical analysis was performed using SPSS 26.0 software (IBM Corp, Armonk, NY, USA). ART – assisted reproductive technology; DIC – disseminated intravascular coagulation; NICU – Neonatal Intensive Care Unit. | |||