FETO–MATERNAL OUTCOME OF PLACENTA PRAEVIA CASES IN A TERTIARY CARE HOSPITAL OF MUMBAI, INDIA

Prajakta Ahire; Mugdha Jungari

Volume : VII, Issue : IX, September - 2017

FETO–MATERNAL OUTCOME OF PLACENTA PRAEVIA CASES IN A TERTIARY CARE HOSPITAL OF MUMBAI, INDIA

Prajakta Ahire, Mugdha Jungari

Abstract :

Obstetric hemorrhage is one of the leading causes of maternal mortality and accounts for 25% of maternal deaths. It is also the most preventable cause. Ante Partum Hemorrhage (APH) constitutes bulk of these cases and placenta previa is one of the major conditions associated with it. This retrospective study presents the 2 years data (August 2009–2011) of placenta previa cases, which underwent caesarean section. Out of 87, 50% cases presented in the emergency department and underwent emergency LSCS, while rest of the patient underwent expectant management in the ward. placenta previa cases accounted for 0.73% deliveries during the study period. Multipara, previous endometrial scar and advanced age were major risk factors.50% cases were managed expectantly and had better maternal and fetal outcome compared to patients who presented in the emergency. As many patients required blood transfusion, emergency LSCS and obstetric hysterectomy, placenta previa cases should be managed carefully