Preterm delivery: A risk factor for retained placenta

Roberto Romero; Yu Chiung Hsu; Apostolos P. Athanassiadis; Zion Hagay; Cecilia Avila; Jose Nores; Alistair Roberts; Moshe Mazor; John C. Hobbins

doi:10.1016/0002-9378(90)91076-O

Preterm delivery: A risk factor for retained placenta

Roberto Romero, Yu Chiung Hsu, Apostolos P. Athanassiadis, Zion Hagay, Cecilia Avila, Jose Nores, Alistair Roberts, Moshe Mazor, John C. Hobbins

Research output: Contribution to journal › Article › peer-review

51 Scopus citations

Abstract

The purpose of this study was to determine whether preterm delivery, with and without intraamniotic infection, is a risk factor for retained placenta. This complication occurred more frequently in women with preterm vaginal delivery than in women with term vaginal delivery (9.1% [ 21 231] vs 1.1% [ 6 561]; p < 0.00001; odds ratio = 9.25). There was no significant difference in the prevalence of retained placenta between women with preterm labor and intact membranes and those with preterm premature rupture of membranes (8% [ 10 125] vs 10.4% [ 11 106]; p ≥ 0.05). A positive amniotic fluid culture or clinical chorioamnionitis was not associated with a higher incidence of retained placenta. This study indicates that preterm delivery is associated with an increased risk of complications of the third stage of labor.

Original language	English
Pages (from-to)	823-825
Number of pages	3
Journal	American Journal of Obstetrics and Gynecology
Volume	163
Issue number	3
DOIs	https://doi.org/10.1016/0002-9378(90)91076-O
State	Published - 1 Jan 1990
Externally published	Yes

Keywords

Placenta
chorioamnionitis
intraamniotic infection
parturition
prematurity
preterm labor
retained placenta
third stage of labor

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1016/0002-9378(90)91076-O

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title = "Preterm delivery: A risk factor for retained placenta",

abstract = "The purpose of this study was to determine whether preterm delivery, with and without intraamniotic infection, is a risk factor for retained placenta. This complication occurred more frequently in women with preterm vaginal delivery than in women with term vaginal delivery (9.1% [ 21 231] vs 1.1% [ 6 561]; p < 0.00001; odds ratio = 9.25). There was no significant difference in the prevalence of retained placenta between women with preterm labor and intact membranes and those with preterm premature rupture of membranes (8% [ 10 125] vs 10.4% [ 11 106]; p ≥ 0.05). A positive amniotic fluid culture or clinical chorioamnionitis was not associated with a higher incidence of retained placenta. This study indicates that preterm delivery is associated with an increased risk of complications of the third stage of labor.",

keywords = "Placenta, chorioamnionitis, intraamniotic infection, parturition, prematurity, preterm labor, retained placenta, third stage of labor",

author = "Roberto Romero and Hsu, {Yu Chiung} and Athanassiadis, {Apostolos P.} and Zion Hagay and Cecilia Avila and Jose Nores and Alistair Roberts and Moshe Mazor and Hobbins, {John C.}",

note = "Funding Information: From the Department of Obstetrics and Gynecology, Yale University School of Medicine. Supported by a grant from the Walter Scott Foundation for Medical Research. Dr. Romero is the recipient of a Physician Scientist Award from the N ationallnstitute of Child Health and Human Development. Presented at the Tenth Annual Meeting of the Society of Perinatal Obstetricians, Houston, Texas, January 23-27, 1990. Reprint requests: Roberto Romero, MD, Yale University School of Medicine, Department of Obstetrics and Gynecology, 333 Cedar St., P.O. Box 3333, New Haven, CT 06510.",

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T2 - A risk factor for retained placenta

AU - Romero, Roberto

AU - Hsu, Yu Chiung

AU - Athanassiadis, Apostolos P.

AU - Hagay, Zion

AU - Avila, Cecilia

AU - Nores, Jose

AU - Roberts, Alistair

AU - Mazor, Moshe

AU - Hobbins, John C.

N1 - Funding Information: From the Department of Obstetrics and Gynecology, Yale University School of Medicine. Supported by a grant from the Walter Scott Foundation for Medical Research. Dr. Romero is the recipient of a Physician Scientist Award from the N ationallnstitute of Child Health and Human Development. Presented at the Tenth Annual Meeting of the Society of Perinatal Obstetricians, Houston, Texas, January 23-27, 1990. Reprint requests: Roberto Romero, MD, Yale University School of Medicine, Department of Obstetrics and Gynecology, 333 Cedar St., P.O. Box 3333, New Haven, CT 06510.

PY - 1990/1/1

Y1 - 1990/1/1

N2 - The purpose of this study was to determine whether preterm delivery, with and without intraamniotic infection, is a risk factor for retained placenta. This complication occurred more frequently in women with preterm vaginal delivery than in women with term vaginal delivery (9.1% [ 21 231] vs 1.1% [ 6 561]; p < 0.00001; odds ratio = 9.25). There was no significant difference in the prevalence of retained placenta between women with preterm labor and intact membranes and those with preterm premature rupture of membranes (8% [ 10 125] vs 10.4% [ 11 106]; p ≥ 0.05). A positive amniotic fluid culture or clinical chorioamnionitis was not associated with a higher incidence of retained placenta. This study indicates that preterm delivery is associated with an increased risk of complications of the third stage of labor.

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Preterm delivery: A risk factor for retained placenta

Abstract

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