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- Title
Long Term Review of Pattern of Placenta Previa and its Effect on Maternal and Neonatal Complications.
- Authors
Dev, Sushma V.; B. C., Anusha; S., Sowmya
- Abstract
Background Placenta previa (PP) is one of the major causes of obstetric hemorrhage and is potentially life threatening to the mother and the baby. When the placenta is implanted partially or completely in the lower uterine segment, it is called as placenta previa. Previa is a Latin word meaning going before. The objective of this study is to analyze the incidence, risk factors, maternal morbidity, mortality and perinatal outcome in women with placenta previa at Cheluvamba hospital, MMCRI, Mysore. Methods This is retrospective observational study of all cases of placenta previa managed in the Department of Obstetrics and Gynecology, Mysore Medical College & Research Institute, Mysore, for a study period of 5 years from May 1st of 2018 to April 31st 2023. Results During our study period of 5 years, there were about 18,205 cesarean sections of which 1.19 % were complicated with placenta previa. About 47% of women belonged to 20-30 years age group and 62.6% were multigravida. There were 30.8% and 14.7% cases with previous cesarean sections and prior abortions respectively. In our study, 66.2% of the cases had postpartum hemorrhage of which 35.9% cases were managed medically, uterine artery and internal artery ligation was done in 12.9% and 3.6% cases respectively. About 1.84% of cases were found to have Adherent placenta and 5.0% cases underwent peripartum hysterectomy when postpartum hemorrhage could not be controlled by conservative methods. ICU admissions were 6.9% and one maternal death was recorded. 81.5% babies were preterm and 69% of them needed NICU admission with perinatal mortality culminating to 14.7%. Conclusion Placenta previa is one of the major obstetric entities leading to adverse maternal and perinatal outcome. Early diagnosis, Institutional delivery with multidisciplinary approach, availability of emergency obstetrics services with senior obstetricians can improve maternal and neonatal outcome in high-risk cases. Iatrogenic prematurity is a raising concern in placenta previa and its management.
- Subjects
MYSURU (India); PREGNANCY complications; OBSTETRICAL emergencies; DELIVERY (Obstetrics); ABORTION; POSTPARTUM hemorrhage; PLACENTA praevia; UTERINE artery
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 5, p264
- ISSN
0975-3583
- Publication type
Article