Comparison of Fetomaternal Outcome Between Scarred and Unscarred Uterus in Placenta Parevia Cases
Objective: To compare the incidence of placenta parevia, placental position, fetal and maternal outcome in cases of scarred uterus (group A) and unscarred uterus (group B)
Study design: It was a comparative cross sectional retrospective study
Place and duration of study: This study was conducted in Gynae/Obs Unit-II Holy Family hospital from 1st August 2014 to 31st July 2015.
Methodology: Demographic details, obstetric history like parity and number of previous cesarean section, gestational age, maternal complications like morbidly adherent placenta, post partum hemorrhage, obstetric hysterectomy, number of blood transfusion, need of uterine artery ligation and internal iliac artery ligation, maternal mortality and fetal outcome were compared in both groups.
Results: Data was analyzed on SPSS version 16.0. Chi-square test was used to compare different quantitative data variable.
Conclusion: Our study concludes that all efforts should be made to reduce the rate of operative deliveries like careful evaluation of indication of caesarean section, ethical clinical practice and counseling of woman for prevention through family planning as there is a greater risk of placenta previa in scarred uterus in subsequent pregnancies.