Fetomaternal Outcome with Placenta Previa and Morbidly Adherent Placenta, A Cross Sectional Study

ABSTRACT

Introduction: Placenta previa occurs when a baby's placentapartially or totally covers the mother's cervix or the outlet forthe uterus. The aim of this descriptive retrospective cohortstudy was to identify maternal complications, placentalposition, mode of delivery, management and fetal outcomes inPlacenta Previa (PP) and Morbidly adherent placentaMaterail and methods: Study was conducted in Departmentof Obstetrics and Gynecology, Pak Red Crescent Medical andDental College (PRCM&DC) Hospital Lahore from June 2017to June 2019. A total of 62 pregnant women were registered.All booked and un-booked mothers with and without historyof previous section with provisional clinical and/or USGdiagnosis of Placenta Previa or MAP.Results: In total, 62 patients with PP were identified 22.58%patients with morbidly adherent placenta were unbooked andother wise are booked. 61.2% patients were the age groupbetween 20-30 years and remaining are more than 30 years. In25.8% type IV placenta previa and same 25.8% are morbidlyadherent placenta and remaining are type I,II &III PP. Placentaprevia, only 6.45% cases were diagnosed in 2nd trimester and93.5% cases were diagnosed in 3rd trimester.Conclusion: Placenta Previa and Morbidly adherent placentaare not a very uncommon condition. Frequency of Incidenceincreases as the rate of cesarean section or abdominal surgerywere increases. Early diagnoses and pre plan mode of deliverywill decrease the risk of low birth weight and low APGARscore infants