CLINICAL STUDY OF PLACENTA PREVIA AND ITS FETAL OUTCOME IN HNB BASE HOSPITAL, SRINAGAR, UTTARAKHAND

Navajyoti Bora, CMS Rawat, Haroon Ali Siddiqui, Biant Singh

Abstract


Background: One of the important causes of maternal and perinatal mortality in obstetrics is placenta
previa. There is a very high incidence of the condition in the hilly areas of the state of Uttarakhand, India.
The main aim of our study is to determine the incidence, maternal and perinatal outcomes among women with placenta previa.
Methods: Ours is a retrospective study carried out in the Department of Obstetrics and Gynecology, of HNB Base Hospital, a
tertiary care hospital in the Garhwal region of Uttarakhand from Jan. 2016 to Dec. 2019. Cases of placenta previa were
analyzed with respect to their age, parity, gestational age, clinical presentation and their outcomes. The newborn's APGAR
score, birth weight and any neonatal mortality were noted down.
Results: A total of 9864 patients delivered in HNB Base hospital during the above period out of which 156 patients were
diagnosed with placenta previa giving an incidence of 1.6%. The highest incidence of 43.6% was seen in the age group of 25-30
years. The commonest type of placenta previa observed was type II at 32.7%. 25.6% cases had previous cesarean section.
41.7% babies had gestational age of 33-36 weeks. 9.6% early neonatal mortality was observed.
Conclusion: The independent risk factors for placenta previa are advancing maternal age, prior cesarean section and
multiparity. Despite advances in medical sciences, placenta previa remains an important cause of maternal and neonatal
morbidity. However it can be reduced by timely referral to tertiary care hospital and their appropriate management.


Keywords


Placenta previa, Prior cesarean section, Postpartum hemorrhage, Maternal Morbidity.

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