CLINICAL STUDY OF PLACENTA PREVIA AND ITS EFFECT ON MATERNAL HEALTH AND FETAL OUTCOME

Dr. Jyoti Verma; Dr. Sanjaya Sharma

Volume : IX, Issue : VI, June - 2020

CLINICAL STUDY OF PLACENTA PREVIA AND ITS EFFECT ON MATERNAL HEALTH AND FETAL OUTCOME

Dr. Jyoti Verma, Dr. Sanjaya Sharma

Abstract :

Background: When the placenta is implanted partially or completely in the lower uterine segment it is called placenta previa, about one third of the antepartum hemorrhage belongs to placenta previa. The objective of the study was to determine the incidence, obstetric risk factors, Obstetric management, maternal mortality and morbidity, perinatal outcome in women presenting with placenta previa. Methods: A prospective observation study conducted at Maharani Laxmi Bai Medical College and Hospital, Jhansi between April 2017 to January 2018. All 106 women who�s gestational age is beyond 28 weeks and who are diagnosed with placenta previa at or after admission and during cesarean delivery are included in the study. Results: In this study 0.64% of the deliveries were complicated with placenta previa among them 23.6% women were above 30 years of age and 80.2% were multigravidas. 60.4% had major degree placenta previa, 36.8% had prior cesarean deliveries, 7.5% had prior abortion, 39.7% preterm deliveries. 85.8% cases delivered by cesarean delivery, 12.7% cases had postpartum haemorrhage and 4.7% had adherent placenta. There were 86.8% ICU admission, 3.8% cases of acute kidney injury in present series. Conclusion: Advancing maternal age, multiparity, prior cesarean section, and prior abortions are independent risk factors for placenta previa. Placenta previa remains a risk factor for various maternal complications adversely affecting maternal and perinatal outcome. The detection of placenta previa should encourage a careful evaluation with timely delivery in order to reduce the associated maternal and perinatal complications.