Maternal and perinatal outcome in placenta previa

Background: Placenta previa is a serious and life-threatening pregnancy complication characterized by bleeding originating from the placental site located in the lower uterine segment. This condition typically occurs during the latter half of pregnancy when the lower uterine segment undergoes stretc...

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Published inInternational Journal of Reproduction, Contraception, Obstetrics and Gynecology Vol. 13; no. 8; pp. 2101 - 2105
Main Authors Patel, Dhruvi R, Mehta, Shital T, Raval, Dhwani R, Mehta, Kush M, Dadhania, Avani G, Desai, Forum A, Danger, Kashmira V
Format Journal Article
LanguageEnglish
Published International Journal of Reproduction, Contraception, Obstetrics and Gynecology 01.08.2024
Subjects
Blood transfusion
Care and treatment
Comorbidity
Diagnosis
Mothers
Patient outcomes
Placenta praevia
Risk factors
India
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Summary:Background: Placenta previa is a serious and life-threatening pregnancy complication characterized by bleeding originating from the placental site located in the lower uterine segment. This condition typically occurs during the latter half of pregnancy when the lower uterine segment undergoes stretching. Methods: This study is a retrospective observational study of total 30 cases of placenta previa from October 2022 to February 2024 at the department of obstetrics and gynecology at SVP Hospital, tertiary center, western Ahmedabad. All women with placenta previa included in this study except patients suffering from any other bleeding disorder. These women were analyzed with age, parity, gestational age, past history of bleeding, clinical features at presentation, blood transfusion, period of gestation at time of delivery, mode of delivery and perinatal outcome. Results: In present study 30 cases were taken. Majority were registered 66.7% (20), age group between 21 to 30 year patients 87% (26), multiparous 73.4% (22) patients. Most common risk factor is caesarean section 20% (6) followed by D&E 16.6% (5). Common complications include 33.33% (10) postpartum haemorrhage. Conclusions: Placenta previa is a major risk factor for adverse maternal and perinatal outcome. Good antenatal care, early diagnosis, availability of emergency obstetrics services with senior obstetricians, blood bank facility, ICU care and nicu services can improve maternal and neonatal outcome in high risk cases. Keywords: Fetomaternal outcome, Placenta accreta syndrome, Placenta previa, Postpartum haemorrhage
ISSN:2320-1770
2320-1789
DOI:10.18203/2320-1770.ijrcog20242078