E-ISSN: 1309-0380
    Changes in first trimester screening test parameters in pregnancies complicated by placenta previa and association with hyperemesis gravidarum
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    Original Investigation
    VOLUME: 15 ISSUE: 4
    P: 212-216
    December 2014

    Changes in first trimester screening test parameters in pregnancies complicated by placenta previa and association with hyperemesis gravidarum

    J Turk Ger Gynecol Assoc 2014;15(4):212-216
    DOI: 10.5152/jtgga.2014.14045
    Fırat Tülek 1
    Alper Kahraman 1
    Salih Taşkın 1
    Esra Özkavukçu 2
    Feride Söylemez 3
    1. Department Of Obstetrics And Gynecology, Ankara University Faculty Of Medicine, Ankara, Turkey
    2. Department Of Radiology, Ankara University Faculty Of Medicine, Ankara, Turkey
    3. Department Of Obstetrics And Gynaecology, Ankara University Faculty Of Medicine, Ankara, Turkey
    No information available.
    No information available
    Received Date: 15.04.2014
    Accepted Date: 19.09.2014
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    ABSTRACT

    Objective:

    To assess the possible changes in first trimester screening test parameters in pregnancies complicated with placenta previa and to determine whether there is an association between hyperemesis gravidarum and placenta previa.

    Material and Methods:

    A total of 131 singleton spontaneously conceived pregnancies that were complicated by placenta previa and delivered between May 2006 and May 2013 were evaluated from birth charts. Ninety patients without placenta previa were selected amongst patients who delivered within the same period of time as the control group. Cases of low lying placenta (n=52) within the study group were assessed as a separate group. The rest of the cases was considered to be in a different group.

    Results:

    Beta human chorionic gonadotropin (BhCG) multiples of medians (MoMs) and nuchal translucency (NT) MoMs were significantly higher in the placenta previa group in comparison with the low lying placenta and control groups. Apgar scores at both the 1st and 5th minutes were significantly lower in the placenta previa group. Hyperemesis gravidarum was found to be significantly more frequent in the placenta previa group.

    Conclusion:

    The prevalence of hyperemesis gravidarum in the first trimester is higher in pregnancies complicated by placenta previa. Paying more attention to the development of placenta previa in the routine pregnancy follow-up of patients with hyperemesis gravidarum could be considered.

    Keywords: Placenta previa, hyperemesis gravidarum, first trimester screening, BhCG, PAPP-A

    References

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