Study of Foetomaternal Outcome in Cases of Placenta Previa

Abstract

BACKGROUND Placenta previa refers to the location of placenta that overlies or is proximate to the internal os of the cervix. It is a major cause of third trimester bleeding. It is a major cause of obstetric and perinatal morbidity and mortality. MATERIALS AND METHODS Present study is a Descriptive Study of 107 cases of placenta previa, which were admitted at our institute during the time from 1 st July 2015 to 30 th June 2017. RESULTS Incidence of placenta previa in this study is 107/17, 472 (0.61%). In the present study, almost 92% of cases are below the age of 35 years. Data analysis shows multiparity (85%), previous caesarean section (47.7%) and history of abortion followed by D and E (14.9%) as aetiological factors for placenta previa. 94.4% of patients were delivered by caesarean section. Total perinatal mortality was 15/107 (8 IUD and 7 expired). 7 patients required obstetric hysterectomy. CONCLUSION In the present study advancing maternal age, multiparity, prior caesarean section and prior abortions were found to have significant association with placenta previa. With early availability of blood transfusion, better surgical facility, anaesthetist and liberal use of caesarean section have reduced maternal morbidity and mortality.

Previous Caesarean Section, Subsequent Placenta Previa and its Outcome

“…In comparison to our results, study conducted by Yadava PA et al 16 reported that total 52% patients suffered from antepartum hemorrhage and 17.04% suffered from post-partum hemorrhage, 3% of total patients developed DIC and 2% developed acute renal failure. Similarly, our data regarding the complications of placenta previa entity is comparable to Thakkar JK et al 17 Study conducted by Zhang L et al 18 reported that in subsequent pregnancy, females with a placenta previa history are at risk for negative effects including postpartum hemorrhage. Placenta previa was found to be an independent determinant for bleeding, placenta accreta spectrum (PAS) disorders and placenta previa during subsequent pregnancy in females with a history of caesarean section.…”