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Report on 130 Consecutive Cases of Placenta Praevia without Maternal Death
Author(s) -
Morgan Joyce
Publication year - 1944
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1944.tb07368.x
Subject(s) - placenta , obstetrics , medicine , maternal death , pregnancy , biology , fetus , environmental health , genetics , population
PLACENTA praevia occurs as a complication in about I to 2 per cent of all deliveries. That it is a serious complication is shown by the mortality rate, which varies from 2 to 8 per cent. Recently the mortality rate has dropped for two reasons, viz., (I) the increased use of blood transfusion, and (2) increased use of Caesarean section. At the Baltimore Hospital in New York the death-rate from placenta praevia was, in 1922, 32 (11.5 per cent), in 1932 it was 38 (2 per cent). This drop was credited to the increase in the number of blood transfusions. Arne11 and Guerriero' reported a maternal death-rate 5 times greater after delivery by the vaginal route than after the abdominal route. Siegel,' in 332 consecutive cases, reports a maternal mortality of 6.6 per cent in vaginal and 1.9 per cent in abdominal deliveries. The foetal mortality was 48.8 per cent in vaginal and 27.8 per cent in Caesarean deliveries. Mahfouz and Magdi3 report 314 cases in 18,467 deliveries, or 1.7 per cent. These comprised 19.7 per cent central, 58.7 per cent iiiarginal, and 21.6 per cent lateral. The maternal death-rate was 6.1 per cent, and the foetal 49 per cent. Marr4 reported 146 cases. Forty of these were treated by Caesarean section, with a mortality of 2.5 per cent, and 106 by vaginal delivery, with a mortality of 5.6 per cent. Binder" reported 84 cases in 9,000 deliveries, with a maternal mortality of 2.4 per cent and a foetal mortality of 6.0 per cent. GreenhilY reported 118 cases, 42 of which were treated by Caesarean section without a death, and 76 by the vaginal route, with a 4 per cent mortality. Wilson' reported 102 cases; 32 had Caesarean section, without a death, and 70 had vaginal deliveries, with a mortality of 4.3 per cent. Berkeley* collected a series of 4,580 cases, of which 1,911 were treated by methods naw in use, with the following results :