Placenta previa and it’s maternal and fetal outcome- A prospective observational study in a tertiary care hospital of West Bengal
Keywords:Placenta previa, prevalence, Maternal outcome, Neonatal outcome.
Background: Placenta previa is characterized by the abnormal placenta overlying the endocervical os, and it is known as one of the most feared adverse maternal and fetal-neonatal complications in obstetrics. Objectives: We aimed to find out the prevalence of placenta previa including Morbidly Adherent Placenta amongst pregnant mothers attending antenatal OPD and Emergency Department and evaluate maternal and fetal outcome in all cases of placenta previa. Methods: A prospective observational study was carried out in the department of Obstetrics and Gynaecology of a Tertiary Care hospital in Kolkata. Data from one hundred and twenty pregnant women presenting with bleeding per vagina during the third trimester of pregnancy either symptomatic or asymptomatic with ultrasonographic diagnosis of placenta previa. Department during the one-year period from 1st April 2020- 31st March 2021 were analysed. Demographic data including age, parity, gestational age and previous caesarean delivery or other uterine surgery, details of medical and obstetric history and information on the intraoperative and postoperative events were recorded. Descriptive analysis was used to report the frequency of maternal and neonatal adverse outcomes. Result: The incidence of Placenta previa was 1.03%. Majority (62.9%) were unbooked cases. Placenta previa cases was highest in the age group 22-30 years (80.9%). It was found that second gravida formed majority of the cases (42.5%), 68.4% of the cases presented at 37 weeks gestational age. From this study, we found that clinical presentation with antepartum haemorrhage was seen in 76 (63.4%) case. Among the admitted PP patients,108 (90%) of the cases were in the class 1 category of Benedetti classification. Out of the120 neonates born, 5 (4.1%) were still born. Out of 115 live-born babies, 56 (48.7%) required NICU admission. Among these neonates 6.7% were in early preterm.
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Copyright (c) 2022 Salma Khatun, Aftabuddin Mondal, Soumitra Mondal, Tanjib Hassan Mullick
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