Published March 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue3,Article272.pdf
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Maternal and Foetal Outcome in Placenta Previa in Pregnancy at a Tertiary Care Centre: A Prospective Study

  • 1. Junior Resident, Department of Obstetrics and Gynaecology, Dr Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, Maharastra, India
  • 2. Senior Resident, Department of Obstetrics and Gynaecology, K. J. Somaiya Medical College & Research Centre, Mumbai, Maharastra, India
  • 3. Professor, Department of Obstetrics and Gynaecology, Dr Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, Maharastra, India

Description

Aims and Objectives: To assess maternal outcome in patient with placenta previa, to assess foetal outcome in patient with placenta previa and to study the distributions of common risk factors of placenta previa. Material and Methods: This was a prospective observational study conducted in The Department of Obstetrics’ and Gynaecology in the tertiary health centre in the Department of Obstetrics and Gynaecology on 50 women with diagnosed placenta previa. Fifty pregnant women with singleton pregnancy with gestational age >28 weeks with diagnosed placenta previa are included in the study. Results: In our study-Mean age was 29.56 years and GA was 35.4 weeks. At the time of admission, 23 patients’ i.e.,46 % belonged to 35-37 weeks of gestation, 20 patients i.e. 40% belonged to 31-34 weeks, 7 patients i.e. 14% belonged to 38-40 weeks. 10 patients. i.e. 20% had grade 1 placenta previa, 16 i.e. 32% patients had grade 32, 18 i..e.36% patients had grade 3, grade 4 placenta previa was seen i.e. 6 patients i.e. 12% ,Out of 16 patients with grade 2 placenta previa 6 patients i.e. 37.5% had anterior placental localization and 10 patients i.e. 62.5% had posterior location. Out of 50 study population invasion of placenta were found in 8 patients i.e. 16% ,out of which 4 patients were found to be increta and 4 Patients were found to be accreta. 42 patients i.e., 84% were found with no placental invasion. Conclusion: The reduced maternal mortality in recent years is mainly attributable to the increased use of blood transfusion, effective antibiotic therapy and better understanding of the management of shock and renal failure.

 

 

Abstract (English)

Aims and Objectives: To assess maternal outcome in patient with placenta previa, to assess foetal outcome in patient with placenta previa and to study the distributions of common risk factors of placenta previa. Material and Methods: This was a prospective observational study conducted in The Department of Obstetrics’ and Gynaecology in the tertiary health centre in the Department of Obstetrics and Gynaecology on 50 women with diagnosed placenta previa. Fifty pregnant women with singleton pregnancy with gestational age >28 weeks with diagnosed placenta previa are included in the study. Results: In our study-Mean age was 29.56 years and GA was 35.4 weeks. At the time of admission, 23 patients’ i.e.,46 % belonged to 35-37 weeks of gestation, 20 patients i.e. 40% belonged to 31-34 weeks, 7 patients i.e. 14% belonged to 38-40 weeks. 10 patients. i.e. 20% had grade 1 placenta previa, 16 i.e. 32% patients had grade 32, 18 i..e.36% patients had grade 3, grade 4 placenta previa was seen i.e. 6 patients i.e. 12% ,Out of 16 patients with grade 2 placenta previa 6 patients i.e. 37.5% had anterior placental localization and 10 patients i.e. 62.5% had posterior location. Out of 50 study population invasion of placenta were found in 8 patients i.e. 16% ,out of which 4 patients were found to be increta and 4 Patients were found to be accreta. 42 patients i.e., 84% were found with no placental invasion. Conclusion: The reduced maternal mortality in recent years is mainly attributable to the increased use of blood transfusion, effective antibiotic therapy and better understanding of the management of shock and renal failure.

 

 

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Dates

Accepted
2024-02-26

References

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