Incidence Of Placenta Previa In Post Caesarean Pregnancy And Maternal Outcome

ABSTRACT

BACKGROUND: Placenta previa, the most catastrophic complication not only poses a risk to the fetus but also endangers the mother's life. AIM:To find the incidence of placenta previa in patients with previous caesarean section and to study the maternal outcome. METHODS: A hospital based prospective study carried out in the Department of Obstetrics and Gynaecology of Gauhati Medical College and Hospital, Guwahati, Assam from 1st June 2018 to 31st May 2019. During this period, 2100 patients with history of previous caesarean section were identified and 66 patients were found to have placenta previa. RESULTS:The incidence of placenta previa was found to be 3.14%. The incidence increases with increase in number of caesarean section. Maximum patients were unbooked from rural area within the age group of 26-30 years. Outcome was studied by need of blood transfusion in 87.7%, postpartum haemorrhage in 19.6%, adherent placenta previa in 10.7%, hysterectomy in 15.1%, Internal iliac artery ligation in 6% and bladder injury in 9.09%. CONCLUSION:Incidence of placenta previa is high in patients with previous cesarean section.