Maternal and Foetal Outcome in Placenta Previa
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 1, Pages 4311-4316
AbstractThe aim of this study is tostudy the Maternal and Foetal Outcome in Placenta Previa.
In this retrospective study, 36 cases of placenta praevia who underwent caesarean section from a time period of 2 years in tertiary centre were taken. All cases of APH in whom diagnosis of placenta praevia was made clinically and/or confirmed by abdominal ultrasound were included in the study. In all these cases care was taken to exclude other causes of APH.
Result: 21 cases (39.08%) cases of placenta praevia had no history of previous uterine surgery while 60.92 % had history of previous uterine surgery. In present study, 39.08 % placenta praevia occurred in patients without any history of previous uterine surgery, out of which 18.39 % were primigravida , 20.63 % were multigravida. In present study, 27.58% were complicated. Most common was PPH, DIC, Bladder injury and placental bed bleeding.
Conclusion: In our series , the major contributing factors in etiology of placenta praevia appear to be Multiparity – 66.67 % Previous ceaserean section - 29.88 % Endometrial damage following MTP & Abortion – 43.67%. Careful adoption of conservative measures in suitable cases of Placenta praevia who have no bleeding episodes and when the foetus is still immature should be done only in a tertiary care hospital with emergency operative services and experienced staff and good NICU facilities.
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