CLINICAL STUDY OF PLACENTA PREVIA AND ITS EFFECT ON MATERNAL HEALTH AND FETAL OUTCOME
Abstract
Objectives: When placenta is implanted partially or completely in lower uterine segment it is called placenta previa. Objective of the study was to determine the incidence, risk factors, management, maternal mortality and morbidity, perinatal outcome in women presenting with placenta previa.
Methodology: Total 54 pregnant women with placenta previa were analyzed
between June 2018 to May 2019. After applying the inclusion and exclusion criteria these women were analyzed with respect to age, parity, gestational age and clinical features at presentation, history of warning bleeding, duration of hospitalization, need for blood transfusion, period of gestation at delivery, route of delivery and ICU admissions. For the newborn APGAR score,preterm deliveries,neonatal mortality rate were noted down.
Results: In this study 0.67% of deliveries were complicated with placenta previa among which 29.63% women were above 30 years of age and 77.7% were multigravidas. 55.6% had major degree placenta previa, 22.2% had prior cesarean deliveries, and 11.1% had prior abortion, 51.85% preterm deliveries. 70.37% cases delivered by cesarean delivery, 9.25% cases had postpartum haemorrhage and 3.7% had adherent placenta. There were 7.4% ICU admissions, 1.9% cases of acute kidney injury in present series.
Conclusion: Advancing maternal age, multiparity, prior cesarean section, and prior abortions are independent risk factors for placenta previa. Placenta previa remains a risk factor for adverse maternal and perinatal outcome. Detection of placenta previa timely is necessary to reduce maternal and perinatal complications.
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