Placenta Previa and its Effects on Feto-Maternal Health at a Tertiary Care Hospital
Objective: To determine the frequency of placenta previa and its effects on maternal and fetal health at a tertiary care hospital.
Methodology: This descriptive study was held at Lady Aitchison Hospital, Lahore, Pakistan from December 2018 to November 2019. Women who were diagnosed as cases of placenta previa, any parity, and willingness to participate in the study were included. Placenta previa was categorized as Grade 1 to 4, according to covering the cervix. Surgeries were performed by gynaecologists having experience of at least 10 years. All the data including fetal and maternal outcomes were recorded in self-designed proforma. SPSS version 20 was used for data analysis.
Results: Total of 120 patients of placenta previa underwent cesarean section. The patients’ mean age was 28.59+4.45 years and mean gestational age was 35.53+5.80 weeks. Hysterectomy was done in 19.2% cases, 8.3% had hypovolemic shock, 8.3% had prolonged hospital stay, 5.8% were admitted in ICU and 2 (1.7%) patients died. According to fetal outcome; NICU admission was 25.0%, 7.5% were IUD and 3.5% were still born. Apgar score 4-6 was commonest in 85.0% of cases.
Conclusion: Placenta previa showed adverse effects on maternal and fetal health like hysterectomies, PPH and neonatal ICU admission including feto-maternal mortality. Placental previa grade VI is mostly associated with adverse outcomes. To minimize morbidity in these females, the delivery should be carried out in institutes with preset preventive measures and good facilities.
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