DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20192165

Frequency, risk factors and materno-foetal outcomes among cases of Placenta previa at a tertiary care hospital: a two year study

Pamulaparthi Bindu Reddy, Gurram Swetha Reddy

Abstract


Background: Placenta previa refers to the presence of placental tissue that extends over the internal cervical os.  Placenta previa is linked to maternal hypovolemia, anaemia, and long hospital stay and with prematurity, low birth weight, low APGAR score in newborn. So it is very important to identify the condition at an early date to warn the condition thereby reducing the maternal and foetal morbidity and mortality. The present study was aimed to estimate the prevalence of PP, its associated predisposing risk factors and maternal morbidity, mortality and the perinatal outcome.

Methods: A prospective observational study for two years was conducted at a tertiary care hospital. Pregnant mothers with >28 weeks of age with H/o ante partum haemorrhage were screened for placenta previa, confirmed by ultra sonography and included in the study. Clinical history, obstetric examination was done and followed up till the delivery. Maternal and foetal outcomes were recorded. Data analyzed by using SPSS version 20.

Results: 1.4% incidence of PP was noted, mean age of group was 29.17±1.6 years. Age group of 21-30 years, multiparity Gravida 2-4, previous history of caesarean section and less number of ante natal checkups were significant risk factors and LSCS was most common outcome. Prematurity, low birth weight and APGAR <7 score for 1 minute was common foetal outcomes.

Conclusions: Our study strongly suggests foetal surveillance programmes in cases of placenta previa. Measures should be made to bring awareness about PP, in urban slums and to increase medical checkups regularly. Making USG mandatory during every ANC and referral of cases of PP to tertiary care centres would definitely reduce the chances of morbidity and mortality.


Keywords


Ante partum haemorrhage, Low birth weight, Multiparity, Prematurity, Placenta previa

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References


Leveno KJ, Alexander JM, Bloom SL. Placenta previa. In: Williams’ Manual of Pregnancy Complications. 23rd ed. New York, NY: McGraw-Hill; 2013.

Sinha P, Kuruba N. Ante-partum haemorrhage: an update. J Obstet Gynaecol. 2008;28:377-81.

Downes KL. Previous prelabor or intrapartum cesarean delivery and risk of placenta previa. Am J Obstet Gynecol. 2015;212:669.e1-6.

Cresswell JA. Prevalence of placenta praevia by world region: a systematic review and meta-analysis. Trop Med Int Health. 2013;18:712-24.

Kollmann M, Gaulhofer J, lang U, Klaritsc P. Placenta previa: incidence, risk factors and outcome. J Matern Fetal Neonatal Med. 2016;29(9):1395-8.

Choi SH, Park YS, Shim KS, Choi YS, Chang JY, Hahn WH, et al. Recent trends in the incidence of multiple births and its consequences on perinatal problems in Korea. J Korean Med Sci. 2010;25(8):1191-6.

Sarojini, Malini KV, Radhika. Clinical study of placenta previa and its effect on maternal health and fetal outcome. Int J Reproduct Contracep Obstet Gynecol. 2016;5(10):3496-9.

Ananth CV, Wilox AJ, Cavitz DA, Bowes WA Jr, Luther ER. Effect of maternal age and parity on risk of uteroplacental bleeding in pregnancy. Intl J Obstet Gynecol. 2006;2:511-6.

Mehboob R, Ahmed N. Maternal and fetal outcome in placenta previa. Pakistan J Med Res. 2003;42(1).

Anzaku AS, Musa J. Placenta praevia: incidence, risk factors, maternal and fetal outcomes in a Nigerian teaching hospital. Jos J Med. 2009;6(1):42-6.

Bhatt AD, Meena A, Desai MR. Maternal and perinatal outcome in cases of placenta previa. Int J Sci Res. 2014;3(1):299-301.

Faiz AS, Ananth CV. Etiology and risk factors for placenta previa: an overview and meta-analysis of observational studies. J Matern Fetal Neonatal Med. 2003;13:175-90.

Ahmed SR, Aitallah A, Abdelghafar HM, Alsammani MA. Major placenta previa: rate, maternal and neonatal outcomes experience at a tertiary maternity hospital, sohag, Egypt: a prospective study. J Clin Diagno Res, 2015;9(11):QC17-9.

Kurude VN, Saha D. Study of maternal and perinatal outcome in placenta praevia at tertiary care center. Indian J Res. 2016;6(3):44-5.