IMR Press / CEOG / Volume 49 / Issue 7 / DOI: 10.31083/j.ceog4907156
Open Access Original Research
Effects of Abnormal Placental Location and Placenta Accreta Spectrum Disorder on the Risk of Hypertensive Disorders of Pregnancy
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1 Department of Obstetrics, Shandong Provincial Hospital Affiliated to Shandong University, 250001 Jinan, Shandong, China
2 Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Shandong University, 250001 Jinan, Shandong, China
*Correspondence: wangxtrep@126.com (Xietong Wang)
Academic Editor: Michael H. Dahan
Clin. Exp. Obstet. Gynecol. 2022, 49(7), 156; https://doi.org/10.31083/j.ceog4907156
Submitted: 25 February 2022 | Revised: 27 March 2022 | Accepted: 6 April 2022 | Published: 11 July 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: This study aimed to investigate the effects of abnormal placental location and placenta accreta spectrum (PAS) disorder on the risk of hypertensive disorders of pregnancy (HDPs). Methods: This retrospective study included 985 patients with abnormal placental location and 2100 patients with normal placental location. The incidence of HDPs in patients with abnormal placental location and in those with concurrent abnormal placental location and PAS disorders was analyzed. The factors affecting the incidence of HDPs and pregnancy-induced hypertension (PIH) were analyzed using logistic regression analyses. Results: The incidence of HDPs in patients with abnormal placental location (3.55%) was significantly lower than those with normal location (8.23%) (p < 0.001). The incidence of HDPs in the placenta previa subgroup (2.87%) was significantly lower than the low-lying placenta subgroup (6.48%) (p = 0.017). By including confounding factors (maternal age, gestational age, gravidity, parity, PAS disorders, and gestational diabetes mellitus), the incidence of HDPs (OR (95% CI) = 0.252 (0.149, 0.426), p < 0.001) or PIH (OR (95% CI) = 0.294 (0.169, 0.511), p < 0.001) was negatively correlated with abnormal placental location. Subgroup analysis revealed that the incidence of HDPs of the PAS subgroup (2.66%) was significantly lower than that of the non-PAS subgroup (5.22%). However, PAS disorder (OR (95% CI) = 0.551 (0.242, 1.254), p = 0.156) was not an independent factor of the incidence of HDPs. Conclusions: Abnormal placental location could decrease the incidence of HDPs. It was an independent protective factor of HDPs, especially PIH, but PAS disorder was not.

Keywords
abnormal placental location
hypertensive disorders of pregnancy
placenta accreta spectrum disorder
preeclampsia
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