PLACENTA PREVIA: AN OUTCOME BASED CROSS SECTIONAL STUDY IN ANTENATAL WOMEN PRESENTING IN TERTIARY CARE HOSPITAL
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Keywords
Maternal Outcome, Neonatal Outcome, Placenta Previa
Abstract
Introduction: Placenta previa is one of the main causes of antepartum hemorrhage and is an important cause of maternal and perinatal morbidity & mortality worldwide.
Objective: To find the frequency of adverse maternal and neonatal outcomes in pregnant women, with placenta previa, presenting in a tertiary care hospital.
Methodology: This cross-sectional descriptive, case was done at Obstetrics & Gynecology Department, Central Park Medical College, Lahore from 1st January 2019 to 31st December 2019. A total 171 patients were included with ultrasound evidence of placenta previa and/or placenta accreta. Demographic characteristics and other required information recorded in proforma. Maternal outcomes in terms of primary PPH and neonatal outcomes in terms of NICU admission were noted.
Results: The patients mean age was 29.71±2.94 years & mean Duration of pregnancy was 36.44±1.36 weeks. There were 43(25.1%) women with no C-section, 105(61.4%) had 1-2 C-sections and 23(13.5%) had 3 or more C-sections. There were 146(85.4%) women with history of painless vaginal bleeding. In this study there were 58(33.9%) women had PPH and 25(14.6%) women with placenta Accreta. Peripartum Hysterectomy was done in 24 (14%) patients. There were 66(38.6%) babies admitted in NICU. There was no significant association between PPH and age groups as the p-value was not significant (P-values=0.19).
Conclusion: The frequency of adverse maternal & neonatal outcomes in pregnant women, with placenta previa was very high in this study so it is concluded that the presence of placenta previa increases adverse maternal & neonatal outcomes when delivered
References
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Shafaq Naz
Consultant Gynaecologist, Senior Registrar, Farooq Hospital DHA, Lahore, Pakistan
Rubina Naurin
Associate Professor, Obstetrics and Gynaecology, Central Park Medical College, Lahore, Pakistan
Tehmina Zafar
Assistant Professor, Obstetrics and Gynaecology, Central Park Medical College, Lahore, Pakistan
Rubeena Badar
Assistant Professor, Obstetrics and Gynaecology, Central Park Medical College, Lahore, Pakistan
Rozina Naurin
Specialist Gynae/Obs, Corniche Hospital, Abu Dhabi, UAE
Sanya Muqadas
Senior Registrar, Obstetrics and Gynaecology, Central Park Teaching Hospital Lahore, Pakistan
Tayyaba Majeed
Professor and Head of Obstetrics and Gynaecology Department, Central Park Medical College, Lahore, Pakistan