The Relationship between Preterm Placental Calcification and Adverse Maternal and Foetal Outcome

International Journal of Medical Science

© 2023 by SSRG - IJMS Journal

Volume 10 Issue 5

Year of Publication : 2023

Authors : Amira Ibrahim, Saher Hasan, Thoura Naesah

10.14445/23939117/IJMS-V10I5P109

How to Cite?

Amira Ibrahim, Saher Hasan, Thoura Naesah, "The Relationship between Preterm Placental Calcification and Adverse Maternal and Foetal Outcome," SSRG International Journal of Medical Science, vol. 10,  no. 5, pp. 60-64, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I5P109

Abstract:

Placental calcification identified before 36 weeks of gestation is known as preterm placental calcification (PPC). PPC can be a sign of a poor fetal outcome. However, their association with adverse perinatal outcomes has not yet been confirmed. Objective: The primary objective was to identify and compare the outcomes of pregnancies with and without documented preterm placental calcification of prematurity from 2022 to 2023.Materials and Methods: We successively enrolled 260 prenatal women who came to the antenatal outpatient clinic and obstetrics department after obtaining our consent to participate in the study. Transabdominal ultrasonography was performed monthly between 28 and 36 weeks of pregnancy to document PPC. We compared maternal and fetal outcomes between those identified with grade III PPC (n=80) and those without grade III PPC (n=180). Results: The frequency of PPC was higher in pregnant women who smoked (p-value = 0.03) and those who took high doses of calcium (p-value = 0.001). Each of the following was significantly higher in the PPC group: incidence of prematurity (p-value=0.0001), low birth weight (p-value=0.03), abnormal CTG (p-value=0.001), increased UA RI(p-value=0.03), Absence end-diastolic velocity / Reversal end diastolic velocity (REDV/AEDV) (p-value=0.03). Conclusion: pregnant with PPC Grade III should be advised to have close prenatal follow-up and regular and frequent fetal health check-ups to prevent fetal complications.

Keywords:

Premature placental calcification, Grade III placenta, Perinatal outcome, Foetal Outcome, Grannum.

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