Indian Journal of Public Health Research & Development
  • Year: 2016
  • Volume: 7
  • Issue: 3

Ultrasonic Detection of Laterally Located Placenta as a Reliable Predictor for Pre-ecclampsia

1Assistant Professor, Department of OBG, Santhiram Medical College and General Hospital, NH-18, Nandyal, Kurnool District, Andhra Pradesh

*Correspondence author: Dr. A Saritha, DGO, DNB Assistant Professor, Department of OBG, Santhiram Medical College and General Hospital, NH-18, Nandyal, Kurnool District, Andhra Pradesh, Email id: drsarita78@gmail.com

Online published on 4 July, 2016.

Abstract

Previous studies have shown that location of placenta may predispose the pregnancy to an adverse outcome like pregnancy induced hypertension(PIH).

To find out whether placental laterality as determined by ultrasound can be used as a predictor of development of preeclampsia.

This prospective study consisting of 120 singleton pregnant women was evaluated to find out whether the lateral location of placenta as shown by ultrasound at 18–24 weeks of gestation can be used to predict the development of preelampsia.

Out of 120 pregnant women, 14 patients had PIH, and 86 patients didn't development any maternal complications. Among these 14 patients, 64.28% were primigravidae, 21.42% were secondgravidae while 14.28% were multigravidae. Further, 21.42% of patients with central placenta had developed PIH and 78.57% of patients with lateral placenta developed PIH (P<0.001). Even incidence of complications of PIH like IUGR (Intrauterine Growth Retardation) were high in PIH developed with laterally implanted placenta when compared centrally located placenta.

The detection of laterally located placenta on ultrasound can be considered as a reliable predictor of preeclampsia.

Keywords

Placenta, ultrasound, preeclampsia