Placenta praevia: A prospective study in a tertiary referral government hospital

Abstract

Introduction:In placenta previa, placenta is situated partly or wholly in lower segment. Bleeding occurs from the placental site when the lower segment stretches, which can be fatal to both the mother and the foetus. Aims and Objectives:To study the relation between type of placenta previa and mode of delivery and to study the neonatal and maternal out come in cases of placenta previa. Methodology: Prospective Observational study was done in the department of obstetrics and gynaecology, Vanivilas hospital, Bangalore from September 2018 to August 2019. Results were analysed and concluded. Results: This study consists of 114 cases complicated with placenta praevia.19 cases (16.67%) had previous history of abortion, 13 cases (11.40%) had previous history of caesarean section and 2 cases (1.75%) had previous history of placenta previa. There were 51cases (44.74%) of minor degree of placenta previa and 63 cases (45.16%) of major degree of placenta previa. Conclusion:Good ANC at the level of primary health centre, availability of a specialized professional at the level of PHC, for early recognition and diagnosis of placenta previa, correction of anemia during antenatal period, good counselling and reference to a tertiary hospital at an early stage will probably help in decreasing the maternal morbidity and perinatal mortality.