OBJECTIVE: We aimed to evaluate the umbilical cord blood (CB) hematocrit
(Hct) levels in women with anterior located placenta previa (PP).
METHODS: This is a prospective case-control study performed in a tertiary
level maternity hospital. Thirty seven pregnant women diagnosed with anterior PP (study
group) and 37 women without PP (control group) included into the study. Groups were
matched with regard to age, gestational age, and fetal gender. All women underwent
Cesarean section. Umbilical CB Hct levels of the newborns were measured. Demographics,
operative features, and neonatal outcomes were recorded.
RESULTS: Umbilical CB Hct levels were statistically significantly higher in
the PP patients compared with controls (p: 52.6±5.0 vs. 47.5±5.0,
p < 0.001). Preoperative maternal hemoglobin (Hgb) and Hct levels were
similar in the two groups. However, postoperative Hb and Hct levels were significantly
lower in the study group (p: 0.003, p < 0.001, respectively).
Intraoperative complication rates were higher in this group. Neonatal Apgar scores were
lower and neonatal intensive care unit admission was more common in the PP group when
compared with controls.
CONCLUSION: We think that anterior PP is associated with increased umbilical
CB Hct levels. Neonatologists should consider this condition in the infants born to
mothers with anterior PP.
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