ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

CLINICAL AUDIT OF PLACENTA PREVIA CASES AND THEIR OUTCOME

Dr. Shams un Nisa, Dr. Sadia Zahoor, Dr. Sadaf un Nisa

Objective: To evaluate the placenta previa cases and their outcome at tertiary care hospital. Material and Methods: This prospective study was conducted at Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur from January 2018 to June 2018 over the period of 6 months. Total 130 females with placenta previa (on ultrasound) were selected and maternal and perinatal outcome was assessed. Results: Mean age of the patients was 28.5±4.6 years. Out of 130 patients of placenta previa, 35.38% patients found with history of previous caesarian section, 27% patients had previous uterine curettage and 82% patients were multiparous. Total 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 delivery at ≤37 weeks and neonatal outcome improved with increasing gestation as expected. Conclusions: Reduction in cesarean rate is the major key factor for decreasing the incidence of placenta previa as, as well as placenta accreta and other associated complications as there were no patients diagnosed to have placenta accreta when placenta previa was present without any previous cesarean scar. In cases of invasive placenta, performing a classical CS, not trying to remove the placenta and proceeding directly to hysterectomy resulted in reduced blood loss. Neonatal outcome as well as maternal outcome is best when cesarean is done between 36-37 weeks. Key Words: Adherent placenta, Cesarean section, Hysterectomy, Placenta previa

FULL TEXT