Fetomaternal Outcome in Placenta Previa at Tertiary Care Hospital in Western Rajasthan: A Retrospective Analysis (original) (raw)
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International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: 2-5% of the pregnancies are complicated by antepartum haemorrhage. About one third of them are due to placenta previa thus contributing to a significant amount of maternal and perinatal morbidity and mortality. In the present times with liberally increasing caesarean section rates, there is a changing trend in the incidence and complications of placenta previa. The objective of this study was to evaluate the obstetrical characteristics and maternal and perinatal outcome of cases of placenta previa.Methods: This was a prospective observational study conducted in the Department of Obstetrics and Gynaecology of JSS Medical College and Hospital, Mysore during the period January 2017 to June 2018.Results: Out of total 13,150 deliveries during this period, placenta previa was observed in 131 cases with an incidence of 1%. Majority belonged to the age group 25-29 years (48.8%). 66% of the cases presented with painless vaginal bleeding as their chief complaint. The major risk fa...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2022
Introduction: Placenta previa is a condition characterised by abnormal placental implantation and usually presented as painless vaginal bleeding in second or third trimester of pregnancy. Various studies have reported adverse outcomes in the cases of placenta previa. Aim: To find incidence, maternal and perinatal outcomes in placenta previa. Materials and Methods: This retrospective study was carried out during April-June 2021 at a Government Tertiary care centre in Maharashtra. Total 260 cases of placenta previa managed at the institute between 1st January 2017 to 31st December 2019 were included in study. Primary data from labour room and operation theatre was collected and detailed case papers were accessed from medical records section. Data was analysed using Microsoft Excel Windows 2013. Results: Incidence of placenta previa was 1.09%. Majority of cases were from age group of 26-30 years, booked, gravida 2-3, belonging to low socio-economic status and without any history of ris...
Background: Incidence of placenta previa is 3-5per 1000 pregnancies. Placenta previa includes: (i) Low lying placenta i.e. when the lower edge of placenta is within 20mm distance from internal os. (ii) Placenta previa i.e. when placenta lies directly over the internal os. Objectives: The objective of the study was to determine the incidence, obstetric risk factors, obstetric management, maternal complications including mortality and fetal outcome in patients presenting with placenta previa. Methodology: A retrospective study was conducted over a period of 1 year in the department of Obstetrics and Gynaecology, tertiary health care centre at King George Hospital, Visakhapatnam, Andhra Pradesh. A total of 73 women with placenta previa were enrolled in this study with inclusion and exclusion criteria. A necessary information regarding history, clinical examination, investigations, maternal and fetal outcome were noted from existing medical records and were analysed. Results: About 0.9% of the deliveries were complicated with placenta previa among which 12.3% of women with >30years, 76.7% of women were multigravida, 32.9% of women with prior csections, 27.4% of women had prior abortions, 52% of women had major degree of placenta previa, 57.8% of women had preterm deliveries,100% of women delivered by caesarean delivery, 34.2% of women had PPH, 9.5% of cases had caesarean hysterectomy, 5.5% of cases had placenta accreta spectrum, 19% of cases had ICU admissions with 4% mortality and 34% of babies had ICU admissions. 31.5% had perinatal mortality. Conclusion: Placenta previa is one of the life threatening complication of pregnancy and its incidence is rising probably parallel to the rise in abortions and csections, about 60% of cases with placenta previa had prior surgical procedures. Meticulous management of placenta previa is important in order to reduce the untoward maternal and fetal complications.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2018
Background: The aim of this study was to determine clinical profile, evaluate our antenatal and intraoperative management and see the maternal and perinatal outcome in patients with placenta previa.Methods: A prospective study was carried out in 130 women with placenta previa in the Department of Gynecology, PGIMER, Chandigarh, India between Jan 2015–April 2016. The profile of these patients was recorded in a predesigned proforma and maternal and perinatal outcome analyzed in detail.Results: One third (46/130) of the patients with placenta previa had a history of previous caesarian section, 27% had previous uterine curettage and 82% were multiparous.18% were asymptomatic placenta previa whereas 82% had one or more bleeding episodes. Expectant management was given to 67% patients after first bleeding episode. Majority (92/130) of patients required emergency cesarean section. Due to invasive placentation, 25 patients required cesarean hysterectomy. Ninety percent patients required del...
Introduction: Placenta previa (PP) is an important cause of maternal and fetal morbidity and mortality worldwide but there is not much data from the developing countries about maternal and fetal outcome 1. Aim: To determine the incidence and maternal and fetal outcomes among women with placenta previa (PP). Material and Methods: This is a prospective observational study carried out at Sri Ramachandra Medical College, Sri Ramachandra University Porur, Chennai, in the Department of Obstetrics and Gynaecology between July 1 st 2012 to July 31 st 2014. Results: Total number of patients delivered during this period were 8694 and out of which 174 patients were diagnosed with placenta previa, so the incidence is 2%. Of women with placenta previa, 3.44%(n=6) had placenta accreta. Incidence of placenta previa was the highest in the maternal age group 20-29 years i.e. 72.9%, Perinatal morbidity was studied as the percentage of babies requiring resuscitation and NICU admission which was 37.35 %(n=65). Caesarean hysterectomy was performed in 1.14% (n=2) cases, there were 1.72 %(n=3) perinatal deaths.
To study the maternal and perinatal outcomes in patients suffering from placenta previa
International Journal of Clinical Obstetrics and Gynaecology, 2021
Background: Placenta previa is a disorder which occurs during pregnancy that is characterized by the presence of placental tissue close to or covering the cervix increasing the risk of antepartum, intrapartum and postpartum hemorrhage. Rapid significant loss of intravascular volume can lead to hemodynamic instability, decreased oxygen delivery, decreased tissue perfusion, cellular hypoxia, organ damage and death. Infants born to such patients are also at risk of premature deliveries and increased perinatal mortality. Method: This prospective randomized clinical study was conducted in the Department of Obstetrics & Gynecology, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh the period 2018-2020 after considering the inclusion and exclusion criterias. Result: Primigravida were more affected than multigravia. Majority patients underwent Emergency LSCS than Elective one. PPH, Pre-operative and Post-operative anaemia and Adherent placenta was significantly more among Emergency LSCS. NICU admission was significantly more among Emergency LSCS. Conclusion: The current study suggested that there is an association between advancing age, previous caesarean section and abortion as the risk factors for placenta previa. Placenta previa as noted from the study was seen to be associated with increased risk of maternal complications like PPH and neonatal complications including prematurity and low birth weight.
A clinical study of placenta previa in semi urban population
2016
Background/ Objectives: To study predisposing factors, management options, maternal & fetal outcome of placenta previa. Methods: The present study was carried out on 30 diagnosed cases of placenta previa admitted in Padmashree. Dr. D. Y. Patil Hospital and Research centre, Pimpri, Pune from 2008 to 2011. Results: In our study it was found that advancing age, parity, previous cesarean section, abortion were associated with placenta previa. Maternal morbidity and surgical interventions were significantly associated with amount of blood loss and type of placenta previa (P<0.0001). In our study perinatal mortality and morbidity was mainly due to prematurity. Expectant management was significantly associated with better maternal and fetal outcome indicated by APGAR score (<0.0001). Conclusion: Expectant management, good neonatal care and timely surgical intervention improve maternal and perinatal outcome in placenta previa.
Incidence of Placenta Previa in Post Caesarean Pregnancy and Maternal Outcome
INDIAN JOURNAL OF APPLIED RESEARCH, 2019
BACKGROUND: Placenta previa, the most catastrophic complication not only poses a risk to the fetus but also endangers the mother's life. AIM:To find the incidence of placenta previa in patients with previous caesarean section and to study the maternal outcome. METHODS: A hospital based prospective study carried out in the Department of Obstetrics and Gynaecology of Gauhati Medical College and Hospital, Guwahati, Assam from 1st June 2018 to 31st May 2019. During this period, 2100 patients with history of previous caesarean section were identified and 66 patients were found to have placenta previa. RESULTS:The incidence of placenta previa was found to be 3.14%. The incidence increases with increase in number of caesarean section. Maximum patients were unbooked from rural area within the age group of 26-30 years. Outcome was studied by need of blood transfusion in 87.7%, postpartum haemorrhage in 19.6%, adherent placenta previa in 10.7%, hysterectomy in 15.1%, Internal iliac artery...
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2020
Background: Placenta previa is one of the major causes for obstetric hemorrhagic morbidity and mortality with increasing incidence in recent times. This study aims at determining risk factors, maternal and fetal outcome associated with placenta previa.Methods: This was an observational, retrospective study conducted at a tertiary care hospital in Mumbai from May 2017 to March 2020. A total of 102 women with placenta previa during the study period were included, their case records critically analyzed to identify risk factors, maternal outcome in relation with blood transfusion required, ICU admission, obstetric hysterectomy and fetal outcome pertaining to prematurity, asphyxia and mortality.Results: A total of 102 patients were analyzed. Placenta previa was more common in >26 years of age, multipara (64.7%), with previous history of caesarean sections (21.5%) and previous curettage (11.7%), 44.2% babies born were preterm, 4.4% stillbirths and 8.5% neonatal deaths. Maternal complic...
STUDY OF MATERNAL AND FETAL OUTCOME IN PLACENTA PREVIA IN A TERTIARY CARE CENTRE
International Journal of Advanced Research (IJAR), 2024
When the placenta is implanted partially or completely over the lower uterine segment (over and adjacent to the internal os) is called placenta previa.. The incidence of placenta previa has risen during the past 30 years. Reported incidences average about 0.4 percent or 1 case per 250 to 400 deliveries, It complicates 0.3-0.5% of all pregnancies at term.Classified in four types on the basis degree of extension of placenta to lower segment. Several demographic factors may contribute to this higher rate of placenta previa, are ,old maternal age, high parity, multifetal gestation, uterine surgery (curettage), smoking and cocaine use, and abortion.. Regardless of etiology, maternal and fetal risks are increased by several folds in patient of placenta previa; in mother, the risks are mainly due to life threatening APH and postpartum haemorrhage (PPH). Placenta previa is a major cause of antepartum haemorrhage (APH) accounting for 35% of all the causes. With regard to baby, incidences of low birth weight (LBW), intra uterine growth restriction (IUGR), preterm deliveries and congenital malformations are increased. 3 Classified in four types on the basis degree of extension of placenta to lower segment.