DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184524

Study of maternal and fetal outcome in various types of placenta previa

Sonal Bhuyar, Neha Dharmale

Abstract


Background: Placenta previa is one of the life-threatening complications in obstetrics which affects maternal and neonatal outcome. Now-a-days its incidence is increasing due to previous operative procedures. The objective of the present study was to study out maternal and fetal outcome in various types of placenta previa.

Methods: A prospective study was conducted in our tertiary care hospital on 78 patients in order to know the cause and outcome of placenta previa.

Results: Early termination was carried out in major PP group due to APH. 13 out of 17 patients presenting with APH had major degree of PP. Abnormal lie and presentation are commonly seen in cases of PP however cephalic constituted 83.3% cases of fetal presentations in present study followed by breech 10.2%, oblique 3.9%, face 1.3% and transverse 1.3%. In this study, 92.2% neonates were born alive while neonatal death and intrauterine death (IUD) was observed in 5.2% and 2.6% neonates respectively.

Conclusions: Combined efforts for prevention of risk factors for PP, timely diagnosis and planned institutional deliveries can only reduce the morbidity and mortality associated with PP.


Keywords


Placenta previa, Placenta accreta, Postpartum haemorrhage

Full Text:

PDF

References


Faiz AS, Ananth CV. Etio and risk factors for placenta previa: an overview and metaanalysis of observational studies. Journal of Mater, Fet Neonat Med. 2003;13(3);175-90

Zelop CM, Harlow BL, Frigoletto FD Jr, Safon LE, Saltzman DH. Emergency peripartum hysterectomy. Am J Obstet Gynecol. 1993;168(5):1443-8

Williams; Obstetric haemorrhage Textbook of obstetrics 24th ed. McGraw-Hill Education pg 800.

Dutta DC. Antepartum hemorrhage. In: Textbook of Obstetrics 8th ed. Jaypee publications; 2015:282-302.

Williamson HC, Greeley AV. Management of placenta previa: 12-year study. Am J Obstet Gynecol 1945;50:987-91.

Scott JS. Antepartum haemorrhage.In Whitefield CR, ed. Dewhurst’s Textbook of Obstetrics and Gynaecology for Postgraduates, 4th ed. Wiley-Blackwell.

Sheiner E, Shoham-Vardi I, Hallak M, Hershkowitz R, Katz M, Mazor M. Placenta previa: Obstetric risk factors and pregnancy outcome. J. Matern Fetal Med, 2001;10(6):414-9.

Crane JM, Van den Hof MC, Dodds L, Armson BA, Liston R. Maternal complications with placenta previa. Am J Perinatol 2000;17(2):101-5.

Fan D, Wu S, Li Liu L, Xia Q, Wang W, Guo X, Liu Z. Prevalence of antepartum hemorrhage in women with placenta previa: a systematic review and meta-analysis. Scienti Rep. 2017;(7):40320.

Ojha N. Obstetric factors and pregnancy outcome in placenta previa. J Instit Med. 2012;34(2):38-41.

Ananth CV, Smulian JC, Vintzileos AM. The association of placneta previa with history of cesarean delivery and abortion: A meta-analysis. AJOG 1997;177(5):1071-78.

Sekiguchi A, Nakai A, Kawabata I, Hayashi M, Takeshita T. Type and location of placenta previa affect preterm delivery risk related to antepartum hemorrhage. Int J Med Sci. 2013;10(12):1683-8.

Hebbar SS, Rai L, Zainab R, Guruvare S, Adiga P, Mundkur A. Influence of placental position on obstetric morbidity in placenta previa. International J Reproduct, Contracep, Obstet, Gynecol. 2017;3(3):585-91.

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