A study of complications in cases of placenta previa

Dhaval M. Khirasaria, Trupti C. Nayak


Background: Haemorrhage in obstetrics is almost life-threatening emergency especially in the last trimester. Placenta previa contributes to 1/5th of the cases of antepartum haemorrhage. This catastrophic complication not only poses a risk to the fetus but also endangers the mother’s life. The aims of this study were to estimate the incidence of placenta previa and to study the various complications and its impact on maternal and neonatal morbidity and mortality. Methods: An observational prospective clinical study was carried out in Department of OBG-GYN on total 30 cases-admitted patients coming from both rural and urban areas, presented with placenta previa after 28 weeks of pregnancy in duration of January 2012 to August 2013.

Results: In the present study, the incidence of placenta previa contributed to 0.23% cases. The general perinatal mortality was 18 per 1000 live births and that due to placenta previa was 6.6 per 1000 live births. The maternal mortality rate due to placenta previa in this study was nil.

Conclusions: A marked reduction in maternal mortality rate from placenta previa was achieved during the last half of the 20th century but still placenta previa is an important cause of perinatal morbidity and mortality. A good antenatal care, early detection of placenta previa by ultrasound and the conservative management may definitely contribute to the dramatic reduction in the perinatal mortality in placenta previa.



Antepartum haemorrhage, Perinatal mortality, Placenta previa

Full Text:



Donald I. Textbook of practical obstetric problems. 5th edition. Edward Arnold Publishers Limited; 2007:423-54.

Das B. Antepartum hemorrhage in three decades. Obs Gyn India. 1975;25:636-41.

Ratnam SS, Rao KP,‎ Kumaran SA. Obstetrics and gynecology for postgraduates. 2nd edition. Orient Longman. 2007;78-88.

Rao BK, Manorama S. Maternal prognosis in placenta previa. Obstet Gynecol India. 1975;25:642-6.

Hemmadi. Recent trends in the management of placenta previa. Indian J Obstet Gynecol. 1989;39(71):365-8.

Rani PR, Chaturvedula L. Placenta previa: an analysis of 4-year experience. Indian J Obstet Gynecol. 1999;19(3):53-5.

Singhal S, Nymphaea, Nanda S. Maternal and perinatal outcome in antepartum hemorrhage: a study at a tertiary care referral institute. Int J Gynecol Obstet. 2008;9(2):5580.

McShane PM, Heyl PS, Epstein MF. Maternal perinatal morbidity Resulting from placent previa. Obstet Gynecol. 1985;65:176-82.

Williams M. Cigarette smoking in pregnancy in relation to placenta previa. Am J Obstet Gynecol. 1991;165:28-32.

Ananth CV, Smulian JC, Vintzileo AM. The effect of placenta previa on neonatal mortality: a population based study in the United States, 1989 through 1997. Am J Obstet Gynecol. 2003;188(5):1299-304.