Clinical study of placenta previa and its effect on maternal health and fetal outcome

Sarojini,; Malini, K. V.; Radhika, .

doi:10.18203/2320-1770.ijrcog20163430

Cited by 9 publications

(25 citation statements)

References 11 publications

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“…The Apgar at one minute was also found to be low in 23 (36.9%) of the newborn and needed additional emergency care. In comparison to a study conducted by Sarojini were preterm was documented in 30.2% 20 .…”

Section: Discussionmentioning

confidence: 51%

“…Higher age of the patient and increased parity has been found to be the most important risk factors to develop placenta praevia. Twenty seven (42.8%) of the women were between the age group 26 -30 years and 9 (14.2%) were more than 30 years of age, which was much lower than the study conducted by Sarojini et al, Ojha N et al and Wu S et al 13,20,21,23 .…”

Section: Discussionmentioning

confidence: 65%

“…In this study all the 63 women underwent section, a trial was given in 12 (19.04%) patients but due to fetal distress and bleed per vagina were taken for an emergency section and the remaining 51 (80.9%) women were posted for elective section due to major degree of placenta praevia, in comparison to a study conducted by Sarojini (85.8%) 20 and Anand et al (84.3%) 24 .…”

Section: Discussionmentioning

confidence: 94%

“…Additional surgical procedures in the form of step wise devascularization 34 (53.9%) and compressive suture -B -lynch in 12 (19.04%), in comparison to a study conducted by Sarojini et al were cervico isthmic suture was needed in 4.7% , B-lynch in 2.8% and uterine artery ligation in 1.9% of the women. 20 The neonatal morbidity was noted in 23 (36.5%) of the newborns, all of them needed NICU care, 10 (15.8%) of them were preterm and needed surfactant to support the respiratory system. The Apgar at one minute was also found to be low in 23 (36.9%) of the newborn and needed additional emergency care.…”

Section: Discussionmentioning

confidence: 99%

“…The exact pathology of the placenta praevia is not known to us, in the year 2010 Healy and team reported the higher incidence of placenta praevia in endometriosis patients following conception by artificial reproductive technique 20 .…”

Section: Research Articlementioning

confidence: 99%

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Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

Shivananjaiah¹,

Malapure²,

Shanbhag³

et al. 2018

OBGYN

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Objective: The study was conducted to see the maternal and neonatal outcomes of the women with placenta praevia. Methods: All women with the diagnosis of placenta praevia admitted in the hospital were included in the study. The maternal and fetal outcomes were recorded from January 2012 to August 2017, over a period of 5 years. Results: A total of 63 patients were included in the study, after radiological confirmation. The period of gestation for the first presentation was predominantly in 28 weeks of gestation, for central placenta praevia. The mean blood loss intraoperative was 3000 ml, ranging to as much as 5500 ml in central placenta praevia and more so in posterior than anterior placenta. The need of additional procedure like uterine artery ligation was needed in 26 (41.2%), internal iliac artery ligation 8 (12.6%), B lynch in 12 (19.04%) and peripartum hysterectomy was performed in 3 (4.7%). The mean requirement of blood transfusion was 500ml of packed cell. The need of ICU care was in 5 (7.9%) and serious morbidity was seen in 3 (4.7%). Maternal mortality was not seen in any case. Fetal outcomes were studied by recording the fetal weight, Apgar and need of NICU care which was for 23 (36.5%). Conclusion: The need for early diagnosis and multispecialty approach to a patient is greatly associated with reducing the blood loss, lesser need of additional procedure and lower maternal and fetal mortality and morbidity.Keywords: Placenta praevia, accreta, antepartum hemorrhage, maternal complication.Placenta praevia means the placenta located in the lower uterine segment which is less than 2.5 cms from the cervical os 1 . This condition is complicating about 0.3 to 0.8% of all pregnancy 2-5 . The risk factors for developing placenta praevia are previously scarred uterus, grand multiparty, maternal age of more than 35 years, recurrent abortion and intrauterine curettage 6-9 .Maternal morbidity in the form of abnormal placentation, increased risk of section and additional procedure, need for blood transfusion and ICU care and fetal morbidity in the form of preterm, low birth weight, low Apgar and need for NICU care makes it a must for care in a higher center and with available advanced resources [10][11][12][13] . The most frequent management in the form of section which is on the rise in today's era more so increases the risk of placenta praevia in the next RESEARCH ARTICLE

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Research Articlementioning

confidence: 99%

See 3 more Smart Citations

Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

Shivananjaiah¹,

Malapure²,

Shanbhag³

et al. 2018

OBGYN

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Frequency, risk factors and materno-foetal outcomes among cases of Placenta previa at a tertiary care hospital: a two year study

Reddy¹,

Reddy²

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Placenta previa refers to the presence of placental tissue that extends over the internal cervical os. Placenta previa is linked to maternal hypovolemia, anaemia, and long hospital stay and with prematurity, low birth weight, low APGAR score in newborn. So it is very important to identify the condition at an early date to warn the condition thereby reducing the maternal and foetal morbidity and mortality. The present study was aimed to estimate the prevalence of PP, its associated predisposing risk factors and maternal morbidity, mortality and the perinatal outcome.Methods: A prospective observational study for two years was conducted at a tertiary care hospital. Pregnant mothers with >28 weeks of age with H/o ante partum haemorrhage were screened for placenta previa, confirmed by ultra sonography and included in the study. Clinical history, obstetric examination was done and followed up till the delivery. Maternal and foetal outcomes were recorded. Data analyzed by using SPSS version 20.Results: 1.4% incidence of PP was noted, mean age of group was 29.17±1.6 years. Age group of 21-30 years, multiparity Gravida 2-4, previous history of caesarean section and less number of ante natal checkups were significant risk factors and LSCS was most common outcome. Prematurity, low birth weight and APGAR <7 score for 1 minute was common foetal outcomes.Conclusions: Our study strongly suggests foetal surveillance programmes in cases of placenta previa. Measures should be made to bring awareness about PP, in urban slums and to increase medical checkups regularly. Making USG mandatory during every ANC and referral of cases of PP to tertiary care centres would definitely reduce the chances of morbidity and mortality.

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A prospective study of foetomaternal outcome in placenta praevia

Kaul

Rami

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Placenta praevia is one of the serious obstetric problems with far reaching effects and a major cause of antepartum haemorrhage. The aim of the study was to evaluate the foetomaternal outcome of pregnancies with placenta praevia.Methods: The present study was a prospective case control study conducted in the Department of Obstetrics and Gynaecology, Lal Ded Hospital, Srinagar from August 2009 to October 2010.Results: Among the 100 cases of placenta praevia studied bleeding per vaginum was the most common presenting symptom. Major placenta praevia was more common (53%) than minor placenta praevia. 43% of the cases of placenta praevia delivered before 37 completed weeks as compared to only 6% in the control group. All cases of placenta praevia delivered by caesarean section. Maternal morbidity in terms of postpartum haemorrhage (32%), intraoperative bowel and bladder injury (2%) and intensive care unit admission (1%) was more in cases of placenta praevia. Foetal complications in terms of neonatal intensive care unit admission (19%), neonatal death (10%) and stillbirth (5%) were more in pregnancies with placenta praevia as compared to controls. 48% of patients with placenta praevia required transfusion of blood and blood products as compared to 4.5% among controls.Conclusions: There is a significant increase in maternal morbidity in pregnancies complicated with placenta praevia. Also, there is a higher incidence of foetal complications and neonatal death. Managing a case of placenta praevia is a challenge in present day obstetrics and it creates a huge burden on the health care system.

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Clinical study of placenta previa and its effect on maternal health and fetal outcome

Cited by 9 publications

References 11 publications

Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

Maternal and neonatal outcome in placenta praevia and adherent placenta: A retrospective study in a tertiary care center

Frequency, risk factors and materno-foetal outcomes among cases of Placenta previa at a tertiary care hospital: a two year study

A prospective study of foetomaternal outcome in placenta praevia

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