Internal as to placental edge distance and mode of delivery in minor degree placenta previa

ABSTRACT

To determine the frequency of vaginal delivery cases of minor placenta praevia. This study was carried out at the Department of Obstetrics and Gynaecology and labour room of Ghurki Trust Teaching hospital for six months from 1-07-2007 to 3 1-12-2007. Total forty patients were included. A suspected diagnosis of placenta praevia on abdominal ultrasound was further assessed by TVS. Mean age of the patients was 22.80 +/- 3.77, Mean gestational age at last ultrasound was found to be 37.02 +/- 0.76 weeks. During labour, all patients were monitored for vaginal bleeding. APH occurred in 22.5%, However, in all cases, it was mild bleeding and no patient required emergency caesarean section because of haemorrhage. 80.0% patients delivered vaginally and 20.0% had emergency LSCS. In no case of caesarean section had to perform for APH. 200% patients had LSCS either because of fetal distress or failed progress of labour. The data of this study support the trial of vaginal delivery in cases with a placental edge to internal os distance more than 2cm, Because these patients have high likelihood of normal vaginal delivery and decrease chances of significant anteparturn haemorrhage