Objective: The purpose of this study is to determine the prevalence of placenta previa and adverse outcomes in patients with repeated C-sections. Study Design: Descriptive/Observational study Place and Duration: Gynaecology and Obstetrics Department, Combined Military Hospital, Peshawar for the period from February 2021 to January 2022. Methods: There were 60 pregnant women had age 20-50 years were presented. Pregnant women with the history of c-section were included in this study. After getting informed written consent demographics of included patients i.e age, body mass index, gestational age, parity and gravidity were recorded. After delivery, association of placenta previa was recorded. Maternal and fetus outcomes were also assessed in this study. SPSS 21.0 was used to analyze all data. Results: Majority of the cases 28 (46.7%) were aged between 20-30 years, 20 (33.3%) had age 31-40 years and 12 (20%) patients were aged between 41-50 years. 34 (56.7%) cases had BMI >25kg/m2 and 26 (43.3%) patients had BMI <25kg/m2. Mean parity of the patients was 4.7±3.21 and mean gestational age was 36.13±14.61 weeks. Frequency of placenta previa was found in 15 (25%) cases in which majority 9 (60%) were males and 6 (40%) were females. Among 15 cases of placenta previa, low apgar score, low birth weight and ICU admission were the adverse outcomes among new borns. In mothers, frequent bleeding, pre-eclampsia and gestational diabetes were the adverse events. Conclusion: The results of this research led us to the conclusion that the prevalence of placenta previa rises with an increasing number of prior caesarean sections and the associated negative fetomaternal outcome. Keywords: C-section, Placenta Previa, Adverse Events, Parity

Objective: This research aims to determine how well balloon temponade works as a treatment for postpartum bleeding. Study Design: Retrospective Study Place and Duration: Gynaecology and Obstetrics Department, Combined Military Hospital, Peshawar for the duration from February 2021 to January 2022. Methods: Total 118 women had age 18-40 years were presented in this study. Patients who were diagnosed with, or who were admitted to the hospital for treatment of primary postpartum haemorrhage caused by uterine atony were included. Gestational age and parity among all females were recorded. Folly catheter intrauterine ballon tamponade was used and its effectiveness among all cases was assessed. SPSS 23.0 was used to analyze all data. Results: Among 118 cases, 40 (33.9%) cases had age 18-25 years, 55 (46.6%) females had age 26-30 years and 23 (19.8%) cases had age >30years. 75 (63.6%) had BMI <25kg/m2 and 43 (36.4%) had BMI >25kg/m2. Mean gestational age of the females was 36.55±6.72 and mean parity was 3.11±6.9. Mean blood loss was 1208.5±227.9 ml. Mean pulse rate was 106.8±4.97 bpm. Mean systolic and diastolic blood pressure was 88.41±12.7 mmHg and 56.14±8.4 mmHg. Efficacy of balloon tamponade was found in 108 (91.5%) cases. Complications were found in 3 (3.5%) cases. Conclusion: We conclude that follys intrauterine catheter balloon tamponade controls postpartum bleeding. There should be a low threshold for using balloon tamponade as it is effective, easy to use, easily available, has a low complication rate, and is an economical modality to control non-traumatic postpartum haemorrhage, especially in resource-limited settings, and sustain reproductive potential. Keywords: Balloon Temponade, PostPartum Haemorrhage, Efficacy, Complications