Volume 38, Issue 1 pp. 173-178

Original Research

Placental Location and the Development of Hypertensive Disorders of Pregnancy

Rosana Salama-Bello MD,

Rosana Salama-Bello MD

Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee, USA

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Jose R. Duncan MD,

Corresponding Author

Jose R. Duncan MD

[email protected]

orcid.org/0000-0001-8464-9744

Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee, USA

Address correspondence to Jose R. Duncan, MD, Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, 853 Jefferson Ave, E102, Memphis, TN 38103 USA. E-mail: [email protected]Search for more papers by this author

Samantha L. Howard MD,

Samantha L. Howard MD

Department of Family Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA

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Jun Song MD,

Jun Song MD

Department of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio, Texas, USA

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Mauro H. Schenone MD,

Mauro H. Schenone MD

Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee, USA

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Rosana Salama-Bello MD,

Rosana Salama-Bello MD

Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee, USA

Search for more papers by this author

Jose R. Duncan MD,

Corresponding Author

Jose R. Duncan MD

[email protected]

orcid.org/0000-0001-8464-9744

Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee, USA

Samantha L. Howard MD,

Samantha L. Howard MD

Department of Family Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA

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Jun Song MD,

Jun Song MD

Department of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio, Texas, USA

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Mauro H. Schenone MD,

Mauro H. Schenone MD

Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, Tennessee, USA

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First published: 06 May 2018

https://doi.org/10.1002/jum.14681

Citations: 14

We thank Kristin Duncan for assistance with drafting the manuscript.

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Abstract

Objectives

Abnormal placentation is an important factor in the pathogenesis of preeclampsia. As a result of diminished blood flow, the incidence of preeclampsia might be higher in patients with laterally located placentas compared to patients with centrally located placentas. The objective of this study was to evaluate the relationship between placental location and the development of hypertensive disorders of pregnancy.

Methods

Patients with singleton pregnancies who were seen in our ultrasound unit and delivered at our institution from October 2014 to April 2015 were included. The incidence of hypertensive disorders was compared in those with a lateral placental location and those with centrally located placentas (placental locations other than lateral). Baseline characteristics and pregnancy outcomes were compared between groups. The χ² test, Fisher exact test, Mann-Whitney U test, and t test were used when appropriate. P < .05 was considered significant.

Results

We included 464 patients; 411 (88.57%) had centrally located placentas, and 53 (11.42%) had laterally located placentas. The incidence of hypertensive disorders of pregnancy was similar between groups (21% versus 19%; P = .71). Gestational age at delivery (P = .73), and small for gestational age (P = .96) were also similar between our study groups.

Conclusions

In our study, there was no difference in the rate of hypertensive disorders of pregnancy between patients with central and laterally located placentas.

References

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Volume38, Issue1

January 2019

Pages 173-178

Placental Location and the Development of Hypertensive Disorders of Pregnancy

Abstract

Objectives

Methods

Results

Conclusions

References

Citing Literature

References

Information

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Placental Location and the Development of Hypertensive Disorders of Pregnancy

Abstract

Objectives

Methods

Results

Conclusions

References

Citing Literature

References

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