Placenta Previa: Maternal and Perinatal Outcome

Abstract

Introduction: Placenta previa unpredictable obstetric emergency substantially contributing to maternal morbidity and mortality. Aim: To Determine the Maternal and Neonatal outcome associated with Placenta Previa. Materials and Methods: A Retrospective observational Hospital based study, conducted in the Department of Obstetrics and Gynecology of Bharati Hospital, Pune from March 2019 to September 2020. Results: Out of 20 cases studied 3 were Morbidly Adherent Placenta, out of these two underwent Hysterectomy. Placenta Previa risk increase with scarred uterus and increase linearly with number of prior caesarean sections and curettage. In present study 38.8 % of all cases present with massive PPH, 33.3% of these require massive blood transfusion. Newborns are most likely to be lowbirth weight due to increase in incidence of preterm delivery with placenta previa. Out of these 20 cases, 2 patients were missed on ultrasonography and were diagnosed on table. Conclusion: Placenta previa is a medical emergency, with timely diagnosis and proper management associated complications can be prevented. There is significant relationship between placenta previa and scarred uterus, this risk becomes very high with escalation in a number of cesarean sections. Clinical significance: In present era with increasing number cesarean sections number of placenta previa cases and associated complications require obstetricians on toes to manage these deadly complications. Timely diagnosis along with judicious expectant management with blood transfusion is required, and timely delivery can lead to the most favorable outcome.