A Study of Migration of Low Lying Placenta in a Tertiary Indian Hospital

Abstract

Context of the study: Low lying placenta alarms obstetrician about antepartum haemorrhage which is a major cause of maternal mortality and morbidity in India. The incidence is increasing with availability of antenatal scan, elderly mothers, repeated usage of dilatation and curettage and high rate of Caesarean sections in tertiary hospitals. AIM OF THIS STUDY was to find out the incidence of placental migration in the present study and factors influencing the same. SETTING AND DESIGN: The study was done in Kolkata Medical College during July 2007 to June 2008. It was a prospective longitudinal study. MATERIALS AND METHODS: Total 726 antenatal mother was attended in this study at Kolkata Medical College. Sixty mothers had low lying placenta by transabdominal scan confirmed by transvaginal scan. STATISTICAL ANALYSIS: Data were put on Microsoft excel chart. Percentage and p value were calculated using statistics software Epi info. RESULTS: The incidence of low lying placenta in our study was 8.26%.Subsequent sonography at four weeks interval showed placenta was moving more than three centimeter from internal os among 41 mothers. The rate of placental migration was 68.3% in the present study. The prevalence of placenta praevia at term was 2.61%. Age had no relationship but increasing parity of mother and increasing number of abdominal deliveries had direct relationship with low lying placental incidence. When the distance between leading edge of placenta and internal os was less than 1.5 centimeter, placental migration was not seen. About 88.23% cases placental migration was seen when the distance was more than 2 centimeter. Posterior placenta had more rate of migration (81.81%) than anterior. CONCLUSION: Migration of low lying placenta was influenced by maternal age, parity, mode of delivery and position of the placenta.

Outcome of Abnormal Placental Attachments in Pregnancies with a Review of Literature

“…In the present study, placental migration was observed more in posteriorly situated placentas compared with the anterior placentas, which is in concordance with study by Shravage et al 21 and Banerjee et al 22 Other report by Ghourab and Al-Jabari 23 also states that posterior placentas migrate more than anterior placentas but is in contrary with the study by Cho et al, 24 which states that anterior placentas migrated more than posteriorly situated placentas.…”

Frequency of low lying placenta (Placenta Previa) in previous two cesarean sections.

“…Majority of the research showed increasing frequency of placenta previa with increasing range of cesareans. 6,7 Surgical handling and disruption of the uterine cavity is a potential chance issue for placenta previa. 9,10,4 In a study have a look at, the low lying placenta was https://doi.org/10.29309/TPMJ/2022.29.07.6623…”