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  3. 3. Incidence of Placenta Previa and Maternal Outcome in Patients with Major Degree Placenta Previa
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3. Incidence of Placenta Previa and Maternal Outcome in Patients with Major Degree Placenta Previa

Afroze Ashraf1 and Sumaira Fatima Sabir2

ABSTRACT

Objective: To conduct this study to find the occurrence in females belonged to local population.

Study Design: Observational / cross sectional study

Place and Duration of Study: This study was conducted at the Department of Obstet and Gynae, Lady Willingdon Hospital, Lahore from March 2017 to November 2017.

Materials and Methods: This study was conducted on 4658 pregnant females. Gravid females with vaginal bleeding after 28 weeks gestation underwent ultrasonography to assess placenta previa. Findings of placenta previa were noted and females were followed-up till delivery of fetus and placenta and complications including obstetrical hysterectomy, anemia, DIC, multi-organ failure, blood transfusion and maternal death.

Results: Mean age patients were 33.20±5.03 years and mean gestational age was 35.38±3.00 weeks. Out of the 4658 females, 2402 (51.6%) underwent spontaneous vaginal delivery and 2256 (48.4%) underwent cesarean section. In females who underwent cesarean section, 105 (4.7%) had placenta previa. Among them, 19 had obstetrical hysterectomy, 2 had DIC, 1 had multi-organ failure and 1 died, and 99 patients had blood transfusion.

Conclusion: Thus in a tertiary care hospital the frequency of placenta previa was low in females presenting for delivery. But the complications are high in females with placenta previa and hysterectomy is one of the major complications of pregnancy with placenta previa.

Key Words: Placenta previa, cesarean section, obstetrical hysterectomy, maternal death. MAP (morbidly adherent placenta)

Citation of article: Ashraf A, Sabir SF. Incidence of Placenta Previa and Maternal Outcome in Patients with Major Degree Placenta Previa. Med Forum 2020;31(7):12-15.