Incidence, Risk Factors And Fetomaternal Outcome In Placenta Previa

Beenish Jeelani; Shaheera Ajaz; Saima Wani; Tabassum Parveez; Cimona Lyn Saldanha

Volume : IX, Issue : V, May - 2019

Incidence, Risk Factors And Fetomaternal Outcome In Placenta Previa

Beenish Jeelani, Shaheera Ajaz, Saima Wani, Tabassum Parveez, Cimona Lyn Saldanha

Abstract :

Introduction: The normal situation of the placenta is vital for appropriate growth and development of the fetus. The incidence, risk factors and outcome of placenta previa is largely unstudied in our population. Aims & Objectives: Objective of this study was to determine the incidence, risk factors, obstetric management and perinatal outcome in women presenting with placenta previa. METHODS:–A retrospective observational study was conducted at tertiary maternity hospital over a period of 2 years and 4 months from May 2016 to September 2018. All the patients with placenta previa were included in this study, detailed history related to age, parity, previous abortions and cesareans was documented, and moreover, their intraoperative complications and management was studied. For newborn, gestation age at delivery and perinatal outcome was studied. Results. During the study period there were 7382 deliveries out of which 0.8% were complicated with placenta previa. Out of the cases of placenta previa, 20 patients were primigravida and 40 were multigravida. Amongst multigravidas , 7 patients had 1 abortion, 6 had history of 2 abortions, 15 patients had history of previous 1 LSCS ,12 had history of previous 2 LSCS, 3 had history of previous 3 LSCS and 3 patients had history of normal vaginal delivery. Regarding intra operative complications, hemorrhage was noted in 36 patients, delivery through placenta in 22 patients, management by haemostatic suturing in 26 patients,uterotonics were administered in 14 patients, uterine artery ligation in 8 patients, adherent placenta in 9 patients . Perinatal outcome was calculated with accordance to live term births in 65%, live preterm births in 23.3%, neonatal deaths in 5% and IUD in 6%.Conclusion: We found a high incidence of placenta previa in our Centre .Nearly half of the patients had history of previous uterine surgeries. Hemorrhage was the most common complication .Preterm births were seen in nearly one fourth of patients.