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The Scientific World Journal
Volume 2014, Article ID 270120, 6 pages
Research Article

Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome

1Department of Obstetrics & Gynaecology, UKMMC, Jalan Yaacob Latiff, 56100 Kuala Lumpur, Malaysia
2UKM Molecular Biology Institute, Jalan Yaacob Latiff, 56100 Kuala Lumpur, Malaysia

Received 2 July 2014; Revised 5 September 2014; Accepted 9 September 2014; Published 12 November 2014

Academic Editor: Maria Grazia Porpora

Copyright © 2014 Abdul Ghani Nur Azurah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas. Method. A retrospective cohort study was conducted in women who underwent caesarean section for major placenta praevia in a tertiary university hospital from January 2007 till December 2013. Medical records were reviewed. Result. Among 243 with major placenta praevia, 56 (23.0%) were primigravidas and 187 (77.0%) were nonprimigravidas. Factors associated with placenta praevia in the primigravidas were history of assisted conception () and history of endometriosis (). For maternal outcomes, the nonprimigravidas required earlier delivery than primigravidas (35.76 ± 2.54 weeks versus 36.52 ± 1.95 weeks, ) and had greater blood loss (). A vast majority of the primigravidas had either posterior type II or type III placenta praevia. As for neonatal outcomes, the Apgar score at 1 minute was significantly lower for the nonprimigravidas (7.89 ± 1.72 versus 8.39 ± 1.288.39 ± 1.28, ). Conclusion. This study highlighted that endometriosis and assisted conception were highly associated with placenta praevia in primigravida. Understanding the pregnancy outcomes of women with placenta praevia can assist clinicians in identifying patients who are at higher risk of mortality and morbidity. Identifying potential risk factors in primigravida may assist in counseling and management of such patients.