Indian Journal of Obstetrics and Gynecology Research

Innovative Education and Scientific Research Foundation

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Registered Under Government of India NGO – Indian Trust Act 1882

Lateral placenta as a predictor for development of preeclampsia

Article : Open access

Article type : Research Article

Volume : 7

Issue : 2

Year : 2020

Author : Ambika Rai, Annet Thatal, Barun Kumar Sharma, Yogesh Narwat

Page no : 216-221

Abstract : Background: The placenta is an important structure that supports the pregnancy. The abnormality in the placental trophoblastic tissues is associated with the various complications during pregnancy. Preeclampsia, a hypertensive disorder of pregnancy results from the abnormality in the placental trophoblastic tissues and is the major cause of maternal mortality and morbidity. Several studies have found correlation between the placental location and development of preeclampsia. Among the various predictors of preeclampsia, the placental location by ultrasound at 18-24 weeks have been found to be cost effective, non invasive and associated with good predictive value. The objective of the study was to assess the relationship between second trimester placental position by ultrasound and the subsequent development of preeclampsia. Materials and Methods: A prospective observational study was conducted on 106 singleton pregnant women from November 2013 to October 2015, attending the antenatal clinic in Sikkim Manipal Institute of Medical Sciences, Gangtok. The location of placenta was determined by ultrasound at 18-24 week and patients were followed up till development of preeclampsia or delivery. Results: Out of 106 patient studied, 69 patient had central placenta and 37 had lateral placenta. A total of 17 patient developed preeclampsia of which 12 had laterally implanted placenta. This finding was statistically significant with a p value of 0.001. Conclusion: This study revealed an increased association of development of preeclampsia in patients with laterally located placenta which aids to preventive approach and optimum management of preeclampsia. Keywords: Lateral placenta, Preeclampsia, Predictor, Ultrasound.