Authors : Seema Dwivedi, Kavita Verma, Uruj Jahan, Vinita Malhotra, Shruti Gupta
DOI : 10.18231/2394-2754.2018.0021
Volume : 5
Issue : 1
Year : 0
Page No : 91-97
Introduction: Placenta previa is a major cause of antepartum hemorrhage, leading to substantial fetomaternal morbidity and mortality. The aim of the present study was to determine the effect of placenta previa (PP) on pregnancy outcome.
Material and Methods: It was a prospective study conducted over a period of 3 years including 262 antenatal women with PP at > 28 weeks of gestation.
Results: In the present study 0.8% of the pregnant women were associated with placenta previa among them most of them were between 20-30 years (51.1%) and multigravida (90.0 %). Majority presented with bleeding between 30-34 weeks (46.9%).Most of the cases (80.2%) had one or the other known risk factors. Ultrasound was done in only 50.8% of cases, among which low lying placenta constituted major proportion(56.4%). 43.4% of women were kept on expectant management as they presented with bleeding at < 34 weeks of gestation. Only 14.5% of women had normal delivery, rest 85.5% underwent caesarean section. Adverse maternal outcome were seen in 40.8% of cases, out of which hemorrhagic shock (25.6%), postpartum hemorrhage (29.8%), Acute renal injury (4.58%), peripartum hysterectomy (9.16%). Most of the women (54.3%) needed >1 unit of blood transfusion. There were 9 cases of maternal mortality.
Conclusion: Pregnancy complicated with PP poses a great challenge to every obstetrician due to associated fetomaternal complications. Early diagnosis and timely intervention may improve outcome.
Keywords: Placenta previa, Prospective, Prevalence, Gestation age, Predisposing factors, Vaginal bleeding placenta accrete, Maternal outcome.