A Study On maternal and Perinatal Outcome in Placenta Previa
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 5
Abstract
The aim of the present study is to find out the demographic profile, maternal and perinatal outcome of patients with placenta previa. It is a prospective study done at Government General Hospital, Kakinada, Andhra Pradesh during the period of July 2013 to June 2014. 61 Antenatal women with more than 28weeks of gestational age with a complaint of painless vaginal bleeding or those diagnosed as having placenta previa on routine ultrasound examination were included in this study and were evaluated with comprehensive maternal history, clinical, laboratory and ultrasound examination and demographic profile, type of placenta previa on ultrasound examination, impact of previous method of delivery and present method of delivery, maternal and perinatal complications, incidence of postpartum haemorrhage and the need of blood transfusion were noted. Total number of deliveries during this period is 10,299. The incidence of placenta previa was 0.6%. Unbooked cases (77.04%),Mean age of presentation was 29yrs. Multigravidae (65.57%), (52.45%) presented between 28-34weeks gestational age, APH( 65.57%), malpresentations (18.03%), women with previous history of surgical intervention (60%), postpartum haemorrhage (27.87%), need for blood transfusion (80.32%). Perinatalmortality (6.6%) and NICU admissions (24.56%), TAH (3.27%), maternal mortality was nil. Early diagnosis of placenta previa and timely intervention with arrangement of blood transfusion, and a good anesthetic, surgical and pediatric team improves maternal and perinatal outcome. Keywords: Placenta previa, Antepartum haemorrhage, Postpartum haemorrhage, Maternal mortality, Perinatal mortality, Lower segment cesarean section
Authors and Affiliations
Lavanyakumari Sarella, Arunajyothi Chinta
Keywords
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