Study on Maternal and Immediate Fetal Outcome of Placenta Previa
Aims: This study aimed to analyze the demographic profile, maternal and fetal outcome of placenta previa.
Methods: This was a retrospective study done at Patan Academy of Health Sciences. The study population comprised of all the patients that had Caesarean section for placenta previa from April 2012 to October 2015. All patients diagnosed with placenta previa clinically using ultrasonograph or incidentally during Caesarean sections were recruited in this study. The data was obtained from medical records and hospital database system. Individual charts were reviewed and data on various parameters was collected.
Results: In Patan Hospital, there was a total of 126 placenta previa cases out of 21,552 deliveries during the two and half year period and hence, the incidence was 0.58 %. We were able to retrieve patient records of only 108 of 126 cases. The incidence of placenta previa was higher with increasing maternal age ≥30 years, there were 45 (41.67%) cases, it was more common in multigravida, 71 (65.74%). We found that associated risk factors included previous Caesarean section, multiparity and dilatation and curettage, there were 44 (40.74%). Eleven patients required blood transfusion, seven of them had blood loss of 1000-1400 ml, one had blood loss of 2000 ml. Also, Caesarean hysterectomy were performed in two patients. In terms of fetal outcomes, 40 ( 37.04%) were preterm birth and 32 (29.63%) of the babies had low birth weight. There was one incident of congenital anomaly, one intrauterine fetal death and six neonatal deaths.
Conclusions: Placenta previa is an obstetric complication that is potentially life-threatening to both the mother and the baby.
Keywords: blood loss; Caesarean section; placenta previa.
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