Table 2.
Maternal and neonatal outcomes in the morbidly adherent placenta patients (n=158), and by whether or not morbidly adherent placenta was suspected prior to delivery
| All morbidly adherent placenta | Morbidly adherent placenta suspected prior to delivery, n=84 | Morbidly adherent placenta not suspected prior to delivery, n=74 | ||
|---|---|---|---|---|
| n (%, 95%CI) unless otherwise noted | P-value | |||
| Maternal outcomes | ||||
| ICU admission | 49 (31.0, 23.8-38.2) | 33 (39.3, 28.8-49.7) | 16 (21.6, 12.2-31.0) | .02 |
| EBL, mL, median (interquartile range) | 2000 (1100-2800) | 2000 (1300-3000) | 1500 (1000-2500) | .004 |
| EBL, mL | .03 | |||
| Quartile 1 (≤ 1099) | 36 (23.4, 16.7-30.1) | 12 (15.0, 7.2-22.8) | 24 (32.4, 21.8-43.1) | |
| Quartile 2 (1100 – 1899) | 40 (26.0, 19.1-32.9) | 19 (23.8, 14.4-33.1) | 21 (28.4, 18.1-38.7) | |
| Quartile 3 (1900 – 2749) | 38 (24.7, 17.9-31.5) | 23 (28.8, 18.8-38.7) | 15 (20.3, 11.1-29.4) | |
| Quartile 4 (≥ 2750) | 40 (26.0, 19.1-32.9) | 26 (32.5, 22.2-42.8) | 14 (18.9, 10.0-27.8) | |
| Blood product transfused | 105 (66.5, 59.1-73.8) | 67 (79.8, 71.2-88.4) | 38 (51.4, 40.0-62.7) | <.001 |
| Among transfused, units transfused, median (interquartile range) | ||||
| Packed red blood cells | 4 (2-8) | 4 (2-9) | 4 (2-6) | .46 |
| Fresh frozen plasma | 0 (0-4) | 0 (0-5) | 0 (0-3) | .33 |
| Cryoprecipitate | 0 (0-0) | 0 (0-0) | 0 (0-0) | .24 |
| Platelets | 0 (0-0) | 0 (0-1) | 0 (0-0) | .49 |
| Lowest postpartum hemoglobin, g/dL, median (interquartile range) | 8.0 (7.0-9.6) | 8.0 (6.6-9.4) | 8.1 (7.2-9.6) | .42 |
| Any two systolic blood pressures < 80 at least 30 minutes apart | 11 (7.0, 3.0-10.9) | 6 (7.1, 1.6-12.7) | 5 (6.8, 1.0-12.5) | .92 |
| In those with systolic blood pressure <80, lowest systolic blood pressure, mmHg, median (interquartile range) | 70 (60-76) | 71 (60-74) | 64 (64-76) | .93 |
| Any two diastolic blood pressures < 50 at least 30 minutes apart | 69 (43.7, 35.9-51.4) | 37 (44.1, 33.4-54.7) | 32 (43.2, 32.0-54.5) | .92 |
| In those with diastolic blood pressure <50, lowest diastolic blood pressure, mmHg, median (interquartile range) | 41 (33-44) | 40 (33-43) | 41 (34-44) | .73 |
| Length of maternal stay, days, median (interquartile range) | 4 (3-5) | 4 (4-6) | 4 (3-4) | <.001 |
| Maternal ventilator use in ICU | 24 (15.2, 9.6-20.8) | 18 (21.4, 12.7-30.2) | 6 (8.1, 1.9-14.3) | .02 |
| Hysterectomy | 110 (69.6, 62.5-76.8) | 77 (91.7, 85.8-97.6) | 33 (44.6, 33.3-55.9) | <.001 |
| Unanticipated maternal surgeries (excluding hysterectomy) | 28 (17.7, 11.8-23.7) | 8 (9.5, 3.3-15.8) | 20 (27.0, 16.9-37.2) | .004 |
| Maternal pulse greater than 120 beats per minutes | 40 (25.3, 18.5-32.1) | 24 (28.6, 18.9-38.2) | 16 (21.6, 12.2-31.0) | .32 |
| Neonatal outcomes | ||||
| Gestational age at delivery, weeks, median (interquartile range) | 36.6 (34.1-38.6) | 35.6 (33.6-36.9) | 37.8 (35.4-39.6) | <.001 |
| Neonatal ventilator support within 24 hours of birth | 32 (20.3, 14.0-26.5) | 24 (28.6, 18.9-38.2) | 8 (10.8, 3.7-17.9) | .006 |
| NICU admission | 80 (50.6, 42.8-58.4) | 55 (65.5, 55.3-75.6) | 25 (33.8, 23.0-44.6) | <.001 |
| Length of neonatal stay, days, median (interquartile range) | 4 (3-12) | 6 (4-14) | 4 (3-8) | .001 |
| Size for gestational age | 0.18 | |||
| Small | 22 (13.9, 8.5-19.3) | 9 (10.7, 4.1-17.3) | 13 (17.6, 8.9-26.2) | |
| Appropriate | 119 (75.3, 68.6-82.0) | 63 (75.0, 65.7-84.3) | 56 (75.7, 65.9-85.5) | |
| Large | 17 (10.8, 5.9-15.6) | 12 (14.3, 6.8-21.8) | 5 (6.8, 1.0-12.5) | |
ICU = intensive care unit; EBL = estimated blood loss; NICU = neonatal intensive care unit