Placenta Praevia- A Study On Maternal & Perinatal outcome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Objective: To determine the maternal & perinatal outcome in placentapraevia Method: It is a cross-sectional study carried out in a tertiarycare hospital. All pregnant women who were diagnosed to have placenta praevia were included. Introduction: Placenta praevia describes placental implantation in the lower uterine segment either over or near the cervical os.Various risk factors are high parity, advanced maternal age, previous caesarean scar or any other scar n uterus, prior curettage and placental size. Results: out of total 6873 deliveries, Placenta Praevia is observed in 19 cases (0.276%).97% are unbooked&75% are between 20-25 yrs. 89.4% multiparous women with majority of gestational age between 28- 32 wks (52.6%), h/o prior caesarean section in 42%,31% had prior curettage. 21% had central praevia 26.3% cases are complicated by placenta increta –percreta syndrome. PPH is seen in 89%, needed blood transfusion, uterine artery & internal iliac artery ligation, peripartum hysterectomy is done in 15.87%. In terms of perinatal outcome of patients presenting with placenta praevia 26.3% severe enough to cause intra uterine fetal demise, APGAR< 7 in 36.8% &47.3% neonatal deaths. Conclusion: Placenta praevia hadadverse maternal and foetal outcome. Early detection and strengthening of safe motherhood services particularly in rural areas, will help reduce the gravity of the situation.
Authors and Affiliations
Dr. CH. Nirmala, Dr. B. N. V. Mounisha
Keywords
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