title: [Influence of prolonged maternal stay in maternal and perinatal outcomes of two series of patients with placenta previa].
abstract: OBJECTIVE
  To compare the maternal and perinatal outcomes of patients with placenta previa, after the adoption of a prolonged maternal hospital stay, to those of a 1991 series.
  
  
  METHODS
  We performed a retrospective study comparing 108 cases of placenta previa hospitalized in the Maternity School Assis Chateaubriand, Universidade Federal do Ceará, during the period from 01/01/2006 to 12/31/2010, with those obtained in 1991, when 101 cases of the pathology were observed at our institution. The following maternal and perinatal data were collected: maternal age, parity, gestational age at delivery, mode of delivery, maternal stay length, Apgar scores at the 1st and 5th minutes, birth weight, adequacy of birth weight, neonatal length stay, maternal and neonatal morbidity and mortality rates (maternal, fetal, neonatal and perinatal). Statistical analysis was performed using the χ² and Fisher's exact tests. The results were considered significant when p<0.05.
  
  
  RESULTS
  In 1991, placenta previa was found in 1.13% of cases (101/8900). In the present study, the prevalence was 0.43% (108/24726). No maternal death was observed in either series. Regarding the study of 1991, the current patients were significantly younger, with lower parity, were hospitalized longer, had better Apgar scores at 1st and 5th minutes, and had longer neonatal hospitalization. Also, we identified reduction of fetal, neonatal and perinatal mortality.
  
  
  CONCLUSIONS
  Perinatal outcomes in patients with placenta previa were significantly improved between 1991 and the years 2006 and 2010. However, we can not say whether this improvement was due to the prolonged maternal hospital stay.
authors.affiliation: Departamento de Saúde Materno Infantil, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
authors.forename: Carlos Augusto
authors.initials: CA
authors.lastname: Alencar Júnior
authors.forename: Elana Couto de
authors.initials: EC
authors.lastname: Alencar
authors.forename: Douglas Pinheiro
authors.initials: DP
authors.lastname: Brilhante
authors.forename: Marina Diógenes
authors.initials: MD
authors.lastname: Teixeira
authors.forename: Francisco Edson de Lucena
authors.initials: FE
authors.lastname: Feitosa
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007902:Length of Stay; D018743:Perinatal Care; D010923:Placenta Previa / Q000628:therapy*; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult