DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20212656

Placenta previa and its effect on maternal and fetal outcome: retrospective observational study

Durgavathi Kothapalli, Kameswari Kolluru

Abstract


Background: Placenta previa is a condition in which placenta get implanted in the lower uterine segment or cervix, which is a major risk factor for postpartum haemorrhage and morbidity and mortality of the mother and neonate used to increase. Based on literature survey we have designed with an objective to study the risk factors for placenta previa and feto-maternal outcome in cases of placenta previa.

Methods: Based on selection criteria 100 singleton deliveries with placenta previa that took place in the department of obstetrics from December 2017 to December 2020 were enrolled and there medical records were considered for analysis. From medical record details of patients like age, duration of gestation, parity, clinical presentation, details of current and previous pregnancy, history of warning bleeding and gestational age of diagnosis of placenta previa.

Results: Regarding risk factor for placenta previa 48% patients have history of previous LSCS, 22% patients have history of previous abortions. Regarding anti partum complication bleeding PV was present in 24% patients, pre-term labour was present in 46% patients, PIH was present in 10% patients, and abnormal presentation was present in 14 % patients.

Conclusions: From our study we can conclude that placenta previa is common in multiparous women in third decade of life and commonly detected at 36 weeks. Bleeding per vagina was most common clinical presentation and LCSC is common risk factor followed by history of previous abortions. Preterm labour was most common ante partum complication and bleeding per vagina comes next to it. Regarding neonatal outcome most of the neonate was normal without complications.


Keywords


Feto-maternal outcome, Placenta previa, Risk factor

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References


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