Prevalence of antepartum hemorrhage in women with placenta previa: a systematic review and meta-analysis

Citations Over TimeTop 10% of 2017 papers

Abstract

Antepartum hemorrhage (APH) is an important cause of perinatal mortality and maternal morbidity in pregnant women with placenta previa in the world. However, the epidemiological characteristics are not completely understood. We performed an initial systematic review and meta-analysis to assess the prevalence of APH in pregnant women with placenta previa. It was totally performed following the Preferred Reporting Items for Systematic reviews and Meta-Analysis statement. PubMed, Elsevier Science Direct, and the Cochrane Library were searched before April 2016. A meta-analysis with a random-effects model based on a proportions approach was performed to determine the prevalence. Stratified analyses, meta-regression method, and sensitivity analysis were utilized to analyze the heterogeneity. A total of 29 articles were included. The pooled overall prevalence of APH among pregnant women with placenta previa was 51.6% (95% CI 42.7-60.6) in a heterogeneous set of studies (I2 = 97.9). Correlation analysis found that there was a positive correlation between prevalence and percentage of multiparous (r = 0.534, P = 0.027) and a negative correlation between prevalence and survey year (r = -0.400, P = 0.031). In conclusion, the prevalence of APH was a high condition among pregnant women with placenta previa.

Related Papers

• → Ultrasonographic findings of placenta lacunae and a lack of a clear zone in cases with placenta previa and normal placenta(2011)43 cited
• → Updated Protocol for Management of Placenta Previa(2018)3 cited
• → Gestation of delivery in people with antepartum hemorrhage and placenta previa(2023)1 cited
• → P30.03: Ultrasonographic findings of placenta lacunae and lack of clear zone were frequently observed in placenta previa compared with normal placenta(2010)
• LUARAN MATERNAL DAN PERINATAL PADA PERSALINAN DENGAN PERDARAHAN ANTEPARTUM AKIBAT KELAINAN LOKASI IMPLANTASI PLASENTA DI RSUP Dr. KARIADI SEMARANG TAHUN 2013-2014(2015)