Incidence of placenta previa in cesarean section (original) (raw)
Related papers
Journal of Pharmaceutical Research International
Objective: To determine the frequency of different positions of placenta previa and morbidly adherent placenta in women who had previous multiple cesarean section reporting at Department of Gynecology and Obstetrics, Isra University Hospital. Patients and Method: This cross sectional was done at department of Gyne/Obs and department of Radiology ISRA University Hospital Hyderabad during one year. An informed consent was taken from pregnant women during antenatal diagnosed to have placenta previa or morbidly adherent placenta on ultrasound with history of previous C-section. The clinical / abdominal examination was done and proformas were filled, the location of placenta previa and morbid adherence was confirmed during C-section and observations were recorded for results. Data was collected via study proforma and analysis of data was done by using SPSS version 26. Results: The mean of the patients was 29.31+5.17years. Most of the study participating women 87(87%) gave the history of ...
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
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...
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...
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...
2020
Background: Placenta Previa (PP) is defined as placenta that lies wholly or partly within the lower uterine segment. It is associated with significant maternal and fetal morbidity and mortality because of unanticipated blood loss and is of the most acute lifethreatening emergency in obstetrics. Objective: Feto-maternal outcome in cases of placenta previa in a teaching hospital. Material and Methods: This was a retrospective observational study conducted in Dr S N Medical College, Jodhpur, Rajasthan over a period of one year from June 2018 to May 2019. There were a total of 9557 deliveries during this period and 76 patients were placenta previa. Results: There were a total of 9557 deliveries during this period and 76 patients were placenta previa. Incidence of placenta previa was 0.8%. In our study 41 cases were found in the age group of 26-30 years (53.95%) and 23 cases were found in the age group of 20-25 years (30.26%)and placenta previa was found in 36 cases (47.1%) in >gravid...
The incidence of placenta previa among women with subsequent pregnancy
Background: Placenta previa is one of the leading causes of vaginal bleeding in second and third trimester of pregnancy. The risk of placenta previa is also higher among women with previous cesarean section. The purpose of our study was to determine the frequency of placenta previa among patients undergoing repeat cesarean section. Materials and Methods: This Cross-sectional study was conducted at the Department of Gynecology, Lahore General Hospital, Lahore. The calculated sample size was 240 cases recruited through non probability purposive sampling. All the patients underwent an obstetrical scan for the presence of placenta previa. The women who were detected with placenta previa were further enquired for the numbers of previous cesarean section. The data was collected on specifically designed proforma (attached). All the collected data was entered into SPSS version 10 and analyzed. The qualitative data like presence of placenta previa (yes or no) was presented as frequency and percentage. Results: There were 240 females included in the study with the mean age of 30.41 ± 5.47 years. The mean gestational age was 34.50±2.97 weeks. There were 233 (97.08%) females who did not develop placenta previa while 7 (2.92%) females had placenta previa. There was insignificant difference observed for frequency of placenta previa with age of females, parity and cesarean section (P>0.05). Conclusion: The incidence of placenta previa is found to be low in local population who had multiple cesarean section.
Objective: The objective of this study is to compare the incidence of placenta previa in women who underwent cesarean section previously versus vaginal deliveries and to compare maternal and fetal outcomes in subjects with placenta previa among previous cesarean section and vaginal deliveries. Method: Prospective study conducted in 50 previous Lower Segment Cesarean Section and 50 previous Normal vaginal delivery cases. Women were enrolled in the study in Mid Trimester, 12-20 weeks of Gestational Age followed until 1 week after delivery. Results: Among the 50 women who underwent normal vaginal delivery one case of placenta previa was observed whereas among the 50 women who underwent previous cesarean sections four women developed placenta previa in their successive pregnancies. The maternal outcome was almost similar in both whereas the fetal complications i.e., Low Birth Weight, Low APGAR Score and the necessity for NICU admission were more in women with placenta previa who underwent cesarean section previously. Conclusion: Incidence of placenta previa was higher in Post Cesarean Delivery. Among the study group,2% of cases with placenta previa in patients with Normal Vaginal Delivery and 8% of cases with placenta previa in post cesarean pregnancies was observed. Fetal and Maternal complications are high in patients with placenta previa with previous cesarean sections.
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...
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.