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STUDY OF CONTRIBUTING FACTORS OF PLACENTA PREVIA IN PREGNANT WOMEN AT TERTIARY CARE HOSPITAL

Dr. Mah Jabeen, Dr. Bilqees Akhtar Malik, Dr. Shahida Aslam

Objective: 1 To determine the frequency of contributing factors (multiparity and previous caesarean section) of placenta previa in pregnant women. 2 To determine outcome in females presenting with placenta previa in a tertiary care hospital. Material and methods: This descriptive case series study was conducted at Department of Obstetrics & Gynaecology, Bahawal Victoria Hospital, Bahawalpur from October 2018 to April 2019 over the period of 6 months. Results: Mean age of patient was 27.32±3.23 years. Previous caesarean section was a contributing factor in 47(39.16%) women out of 120. Multiparity was found in 69 (57.5%) women. Postpartum hemorrhage occurred in 18 (15%) and hysterectomy was done in 4 (3.33%) women. Conclusion: Multiparity and previous caesarean section is significant contributing factors for development of placenta Previa and postpartum hemorrhage and subsequent hysterectomy are the serious outcome. Efforts must be made to avoid unnecessary caesarean section and advise the patient about family planning. Key words: Placenta previa, Caesarean section and Postpartum hemorrhage.