RESUMO
To see the effect of placenta previa on fetal and maternal mortality/ morbidity. This was a case series study. Study was conducted in Gynecology unit BV Hospital Bahawalpur during year 2000 to 2003. All the patients presenting with or with out painless bleeding in antenatal clinic and proved to be due placenta previa were included in the study. Patients presenting with pain less bleeding in the antenatal clinic due to other reasons were excluded from the study. In all the patients' history along with the risk factors clinical and sonography finding, any intervention needed and final out come was recorded. SPSS was used for data collection and analysis. Total 50 patients were studied Out of these 84% of patients were symptomatic a t admission the symptoms found were Bleeding, shock and Pain. Strong associations o f risk factors like Age, Parity, ERCP, Smoking and previous C. Section was found in our study. Severe hemorrhage, prematurity, stillbirths and ENND was associated with Placenta Previa. Placenta previa is not an uncommon but underestimated, under reported and preventable condition. Prevention is possible in case of Known risk factors. Early diagnosis is necessary as the delay in some cases may end up in disaster
Assuntos
Humanos , Feminino , Placenta Prévia/mortalidade , Mortalidade Fetal , Mortalidade Materna , Cuidado Pré-Natal , Ultrassonografia/estatística & dados numéricos , Paridade , Hemorragia , Fumar , Recém-Nascido Prematuro , Natimorto , Placenta Prévia/prevenção & controleRESUMO
Every mother has the right to be pain free during the most distressful moments of her life which are labour and delivery and she should be provided pain relief by all available means. A large number of studies have proven the efficacy, reliability and safety of regional techniques in obstetric patients. They should be employed when appropriately trained personnel, equipment, monitors and resources are available. The management of labour pain has tremendously changed over the recent years. The current trend is for ambulatory analgesia or so called "walking epidural". The presently employed regional techniques keep the mother free of pain, non-paralysed and co-operative. These methods have minimal or nonsignificant undesirable side effects on the uterus, foetus or the neonate. There is a reduction of nursing problems also because it is easier to manage a non-paralysed parturient as compared to a semi-paralysed one