A CLINICAL STUDY OF PLACENTA PREVIA –MATERNAL AND PERINATAL OUTCOME

DR .NEETA SHARANABASAPPA HARWAL, DR.MAHANANDA SHIVARUDRAPPA MELKUNDI

Abstract


Aim: analysis of maternal and fetal outcome in pregnancy complicated with placenta previa and to evaluate the potential risk factors

Methods: 50 pregnancies with placenta previa during a 2 years study period (2014-2016) were analyzed. The total number of deliveries duringthe study period was 4759. The data on the potential risk factors compiled; the information on the maternal and neonatal outcome was subjected to appropriate statistical analysis and following deductions provided

Result: The incidence of placenta previa was 1.8%. Factors significantly

associated with development of placenta previa were advanced maternal age, number of previous cesarean section, number of previous abortions and multiparity The complications seen most commonly in the neonatal outcome was prematurity at birth (42.85%) followed by RDS (28.5%) and aspiration (14.2%). 48% of the babies required resuscitation, out of which 24% required further NICU admission. The neonatal mortality calculated was 280/ 1000 live births.

 

Conclusion: Inspite of 24 hours emergency services being available, and ear1y diagnosis being at hand, lots more is required to bring down the maternal morbidity and neonatal mortality and morbidity to international standard for us to do justice to the patients.


Keywords


Placenta previa; maternal morbidity; Neonatal mortality.

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References


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