MINOR DEGREE PLACENTA PRAEVIA;

Abstract

Objective: To find out the mode of delivery when the distance of placenta edge to internal os is more than 2 cm and less than 5cm i.e minor degree placenta praevia. Study Design: Descriptive Study. Place and Duration of Study: The study was done at CombinedMilitary Hospital Rawalpindi and Military Hospital Rawalpindi from January 2005 to January 2006. Patient and Methods: A total of 100 patientsadmitted in obstretic ward were selected according to the inclusion and exclusion criteria by convenience sampling. Patients with ante partumhaemorrhage after 34 weeks admitted, resuscitated and then investigated by blood tests and transvaginal ultrasound. Only patients withplacental edge to internal os distance of more than 2 cm were selected for study. Booked patients of placenta praevia type 1 and type 2 of morethan 37 weeks after bishop scoring and cervical ripening were delivered vaginally by ARM and Oxytocin. Results: In our study, out of selectedpatients 100 patients of placenta praevia type 1 and type 2 were selected, results of these patients were (a) 63% patients were deliveredvaginally. (b) 37% of patients were delivered by caesarean section. (c) 46% of patients with para 4 had placenta praevia as compared toprimigravida who had placenta praevia 15%. (d) 59 % of deliveries occurred at 34-36 years of gestation while 41% of deliveries were occurred atgestation of >36 years. Conclusions: Patients with placental edge more then 2 cm should be given a trial of vaginal delivery instead of goingstraight away to caesarean section.