European Journal of Molecular & Clinical Medicine

Abstract

The 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.