title: Is lateral localisation of placenta a risk factor for adverse perinatal outcomes?
abstract: The aim of this study was to evaluate the relationship between placental localisation and perinatal outcomes. This study was performed in a tertiary centre hospital by retrospectively analysing the medical records of patients who were followed up and underwent delivery in the same hospital. The patients were divided into two groups according to the placental locations (central and lateral) in their routine sonographic findings between the 18 and 24 weeks' gestation. Out of 1,057 patients, 87.4% (n = 919) had centrally located placentas and 12.6% (n = 133) had laterally located placentas. Preeclampsia was found to be significantly higher in the lateral placental location group (4.5% vs. 1.6%; p = 0.027). There was a significant correlation with foetal growth restriction (FGR), preterm birth rates, low Apgar scores and need for neonatal intensive care unit in the lateral placental location group (p < 0.05). The pregnant women with laterally located placentas should be followed up promptly with special care for the risk of preeclampsia and FGR, and poor neonatal outcomes.
authors.affiliation: a Zekai Tahir Burak Women Health Care Education and Research Hospital , Ankara , Turkey.
authors.forename: K D
authors.initials: KD
authors.lastname: Seckin
authors.affiliation: b Department of Obstetrics and Gynaecology , School of Medicine, Gaziosmanpasa University , Tokat , Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Cakmak
authors.affiliation: c Dr. Sami Ulus Maternity and Children Research and Training Hospital , Ankara , Turkey.
authors.forename: M F
authors.initials: MF
authors.lastname: Karsli
authors.affiliation: a Zekai Tahir Burak Women Health Care Education and Research Hospital , Ankara , Turkey.
authors.forename: M I
authors.initials: MI
authors.lastname: Yeral
authors.affiliation: c Dr. Sami Ulus Maternity and Children Research and Training Hospital , Ankara , Turkey.
authors.forename: I B
authors.initials: IB
authors.lastname: Gultekin
authors.affiliation: a Zekai Tahir Burak Women Health Care Education and Research Hospital , Ankara , Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Oz
authors.affiliation: a Zekai Tahir Burak Women Health Care Education and Research Hospital , Ankara , Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Danisman
mesh_terms: D000328:Adult; D001034:Apgar Score; D005260:Female; D005317:Fetal Growth Retardation / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D015931:Intensive Care, Neonatal; D016104:Oligohydramnios / Q000453:epidemiology; D010920:Placenta / Q000000981:diagnostic imaging* / Q000473:pathology; D011225:Pre-Eclampsia / Q000453:epidemiology*; D011247:Pregnancy; D047928:Premature Birth / Q000453:epidemiology*; D012189:Retrospective Studies; D016216:Ultrasonography, Prenatal; D055815:Young Adult
keywords: placental location; preeclampsia; pregnancy outcome