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Category: Volume 07 Issue 01 January 2019
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Title: Placenta Previa: Maternal and Foetal Outcome in a Tertiary Care Hospital of Telangana State

Authors: Dr Jalagam Madhavi, Dr V. Usha Rani

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.90

Abstract

 

Placenta previa is an increasingly prevalent and potentially dangerous complication of pregnancy. This study was conducted at Goverment maternity Hospital, Hanamkonda, Telangana state. The no of deliveries conducted during this study period was 7626. In this 322(4.22%) were admitted with APH. In those 68(0.89%) patients were of placenta previa. This study includes 60cases. Mean age was 28.96±10.42 years. Placenta previa was more common 25-35 years age group (77%). About 70% multiparous women had placenta previa compared to 30% primiparous women. The most common gestational age which presented with bleeding was 34-38 week. Twin gestation and previous caesarean sections were of risk factors. Malpresentations was also noticed in 8.8% cases. In our study, 31.6% patients had a history of prior caesarean section. Grading of placenta previa as major (complete and partial) in 63% patients and minor (marginal and low lying) in 37% of people. Bleeding was found in almost all cases these patients were monitored closely as inpatients and more aggressively managed. In 68% of people emergency surgery was done and 16% cases elective surgery were conducted.  Severe Anaemia was noticed in 40% cases, blood transfusion was done in 50% of cases in which 20% were antenatal blood transfusion. The post operative complications like Sepsis (6.6%), Febrile morbidity(6.6%), UTI(6.6%) and PPH(13.3%) were recorded. About 25% of neonates require resuscitation, 20% were admitted in NICU, 4 were died after 48 hours. As the maternal and perinatal morbidity and mortality due to placenta previa is preventable, efforts should be made to bring down these rates at tertiary care hospitals.

Keywords: placenta previa, maternal outcome, neonatal outcome, haemorrhage, blood transfusion.

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Corresponding Author

Dr. V. Usha Rani

Associate Professor, Dept. of Obstetrics & Gynaecology, Kakatiya medical college, Warangal, Telangana State, India