Incidence of placenta previa in Southern Punjab and maternal outcome
Journal Title: Journal of Fatima Jinnah Medical University Lahore - Year 2018, Vol 12, Issue 1
Abstract
Background: Placenta previa is a worldwide problem associated with many pregnancy related complications. However, the information regarding placenta previa and its effect on pregnancy outcome are lacking in this area of Pakistan. This study aims to find out incidence of placenta previa in pregnant females, its consequences and outcome of pregnancy in the local population of Southern Punjab admitted to tertiary care public sector hospital at Rahim Yar Khan region. Patients and Methods: This observational cross sectional study was conducted in the department of Obstetrics and Gynaecology, Sheikh Zayed Hospital, Rahim Yar Khan from March to November 2017 on 4658 pregnant females. Gravid females with vaginal bleeding after 28 weeks gestation underwent ultrasonography to assess placenta previa. Findings of placenta previa were noted and females were followed-up till they were discharged and complications, including obstetrical hysterectomy, anemia, disseminated intravascular coagulation (DIC), multi-organ dysfunction or failure, blood transfusion requirement and maternal death, were recorded. Results: Mean age of the patients was 33.2±5 years and mean gestational age at presentation was 35.38±3 weeks. Out of the 4658 females, 2402 (51.6%) underwent spontaneous vaginal delivery and 2256 (48.4%) underwent cesarean section. Among 2256 females who underwent cesarean section, 210 (9.3%) had placenta previa. Among them, 38 (18%) had obstetrical hysterectomy, 4 developed DIC, 2 had multi-organ failure and 2 (0.95%) died, whereas 198 patients received multiple blood transfusion. Conclusion: The frequency of placenta previa was lower in local female population presenting at a tertiary care hospital for delivery. However, the complications were high in females with placenta previa and hysterectomy was one of the major complications of pregnancy with placenta previa.
Authors and Affiliations
Mahwish Najam, Sana Javed, Nuzhat Rasheed
Keywords
Related Articles
- EP ID EP365748
- DOI -
- Views 136
- Downloads 0
Coblation tonsillectomy versus cold dissection tonsillectomy
Background: Post-tonsillectomy pain and haemorrhage are important factors for the safety and efficacy of any surgical procedure. This study aimed to compare the efficacy of two surgical techniques i.e. coblator assisted...
Histopathological analysis of salivary gland tumors at Pathology Department of King Edward Medical University Lahore
Background: Salivary gland tumors are distributed in the head and neck area. The purpose of the study was to see the distribution of these tumors. The tumors were studied against the demographic variables like age and se...
Dynamic Contrast Enhanced Breast MRI in Diagnosis of Breast Carcinoma: Comparison between the Accuracy of Kinetic Curves and Morphological Features
Background: Breast carcinoma being the commonest and frequently a lethal female malignancy needs prompt radiological evaluation for proper characterization. MRI breast is highly sensitive for diagnosis and uses two featu...
International Collaboration in Medical Education: Residents’ Perspective on CPSP-HSE Program
Background: International collaboration between medical institutes provides a valuable solution to the increasing demand of knowledgeable and skilled medical workforce. CPSP-HSE program offers residents of CPSP as opport...
Quilting Technique to Prevent Seroma Formation following Mastectomy for Breast Cancer: A Cross-Sectional Study
Background: Seroma formation is the most frequently occurring complication in breast cancer patients undergoing mastectomy. Studies suggest that quilting technique is associated with considerable lower rate of seroma for...