DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20210003

A 3 year retrospective study of pregnancies complicated with placenta previa in a tertiary care centre

Vatsala Kamath, Aparna C. Aravind, Nishita Shettian

Abstract


Background: Placenta previa describes when a placenta is implanted partially or completely over the internal OS. About one third of the ante partum haemorrhage belongs to placenta previa. The incidence is increased beyond the age of 35 years, with high birth order pregnancies, prior caesarean deliveries and in multiple pregnancy. The aim of the study was to determine maternal and fetal outcome in pregnancies complicated with placenta previa.

Methods: A 3 year retrospective study done in OBG department of A. J. Institute of Medical Sciences, Mangalore from January 2017- January 2020. All pregnant women who are diagnosed with placenta previa during regular antenatal care (ANC) follow up, at or after admission and during caesarean delivery are included in the study. Data were collected from the hospital records.

Results: During the study period, there were 34 pregnant women with placenta previa. Maximum were in the age group of 31-35 years of age and 8.82 percentage were in the age group more than 35 years. Out of the study subjects,76.5 percentage were multigravidas and 50 percentage were giving history of prior one caesarean section. 29.4 percentage of study subjects had true placenta previa and 85.2 percentage underwent elective caesarean section. There were significantly higher number of babies required neonatal intensive care unit (NICU) admissions.

Conclusions: An increase in the incidence of women with advanced maternal age, multiparity, prior caesarean deliveries contributes to a rise in the number of pregnancies complicated with placenta previa.


Keywords


Placenta previa, Antepartum haemorrhage, Caesarean hysterectomy, Postpartum haemorrhage

Full Text:

PDF

References


Cunningham, Leveno, Bloom, Oashe, Hoffman, Gasey et al. Williams Obsttrics. 25th edition.

Azurah AGN, Zainol ZW, Lim PS, Shafiee MN, Kampan N, Mohsin WS. Factors Associated with Placenta Praevia in Primigravidas and Its Pregnancy Outcome. The Scientific World Journal. 2014;2014.

Olive EC, Roberts CL, Algert CS, and Morris JM. Placenta praevia: maternal morbidity and place of birth.Australian and New Zealand Journal of Obstetrics and Gynaecology. 2005;45:499-504.

Takayama T, Minakami H, Koike T, Watanabe T, Sato I. Risks associated with cesarean sections in women with placentaprevia. Journal of Obstetrics and Gynaecology Research. 1997;23(4):375-79.

Tuzovic L. Complete versus incomplete placenta previa and obstetric outcome. International Journal of Gynecology and Obstetrics. 2006;93(2):110-17.

Onwere C, Gurol-Urganci I, Cromwell DA, Mahmood TA, Templeton A, van der Meulen JH. Maternal morbidity associated with placenta praevia among women who had elective caesarean section. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2011;159(1):62-66.

Schneiderman M, Balayla J. A comparative study of neonatal outcomes in placenta previa versus caesarean for other indication at term.Journal of Maternal-Fetal and Neonatal Medicine.2013;26(11):1121-27.

T. Rosenberg, G. Pariente, R. Sergienko, A. Wiznitzer, and E. Sheiner.Critical analysis of risk factors and outcome of placentaprevia.Archivesof Gynecologyand Obstetrics. 2011;284(1):47-51.

J. M. G. Crane, M. C. van den Hof, L. Dodds, B. A. Armson, and R. Liston.Maternal complications with placenta previa.The American Journal of Perinatology. 2000;17(2):101-105.

Oyelese Y. Placenta previa: the evolving role of ultrasound. Ultrasound Obstr Gynecol. 2009;34(2):123-6.

Timothy Rowe, MB BS, FRCSC. Placenta Previa. AUGUST JOGC AOÛT. 2014

Gilliam M, Rosenberg D, Davis F. The likelihood of placenta previa with greater number of caesarean delivery and higher parity. Obstet Gynecol. 2002;99(6):976-80.