Volume : VIII, Issue : VIII, August - 2019

EVALUATION OF THE RELATION BETWEEN PLACENTA PREVIA IN SCARRED UTERUS AND IN NON–SCARRED UTERUS AND THE OUTCOMES SPECIALLY IN REFFERENCE TO PLACENTA ACCRETA SPECTRUM.

Dr. Arghya Maitra, Dr. Sandhya Das, Dr. Marufa Bilkish, Dr. Subhabrata Ghosh

Abstract :

Recently, the incidence of Placenta Previa is showing an increasing trend, which may be due to increased incidence of scarred uterus, mainly the previous cesarean section3,19,22,24,25. And at the same time, we are encountering more cases of the dangerous variety of placenta previa as the consequence, and that is nothing but “Placenta Accreta Spectrum”, the term popularly introduced by ACOG. ( ACOG – Number 7 / Committee opinion No. 529, July 2012 / Maternal – Fetal medicine )1. We also know, that, this morbidly adherent placenta often face severe type of post partum hemorrhage, for which often the uterus is sacrificed23,25. AIM – Our aim of the study was to reach a proper antenatal diagnosis of the character of the Placente Previa specially in a previous cesarean section case, so that we can prepare ourselves to avoid the treacherous PPH or to take prompt action in that dire emergency. Study Design : A Cross – Sectional Study. Materials and Methods : This study was done among 91 pregnant mothers with Placenta Previa, over the period of One year from 1st January, 2018 to 31st December’2018. The study was conducted at a tertiary–care hospital in South–Bengal. And all the outcomes were categorically recorded and compared with the previous studies. Consent form from each and every patient was collected for the publication of the study, which was not at all a difficult job – as because it was an emergency, life threatening status, the patient,s parties were always cooperating us to evaluate the condition , targetting – how to reduce the frequency of this dangerous category Result : 91 Cases of Placenta previa in total 10,995 deliveries, in the year 2018 at CNMCH, indicating the incidence of Placenta previa – 0.82 %. Total Cesarean Section done in that year was 5735 ( 52 % ). To observe the pregnancy of plecenta previa in scarred uterus and in non scarred uterus, we also recorded the total no. of H/O previous cesarean section cases, on that year and that was 1798 i.e. 31.35% ( 1798 in 5735 cases ). The cause of the increasing trend of cesarean section (52%) found due to the increased incidence of previous C.S. with its complications, which was also responsible for increased incidence of Placenta Previa and the Placenta Accreta Spectrum with their treacherous fangs. Cases diagnosed antenatally, specially the Accreta varities did better. Conclusion : The Study concluded that the prior antenatal diagnosis of Placenta Previa specially in a scarred uterus can reduce maternal and fetal morbidity and mortality

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Article: Download PDF   DOI : 10.36106/ijsr  

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EVALUATION OF THE RELATION BETWEEN PLACENTA PREVIA IN SCARRED UTERUS AND IN NON-SCARRED UTERUS AND THE OUTCOMES SPECIALLY IN REFFERENCE TO PLACENTA ACCRETA SPECTRUM., Dr. Arghya Maitra, Dr. Sandhya Das, Dr.Marufa Bilkish, Dr.Subhabrata Ghosh INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-8 | August-2019

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