Outcome Analysis of Major Degree Placenta Praevia in Holy Family Red Crescent Medical College and Hospital (HFRCMCH), Dhaka, Bangladesh

Background: Major degree placenta praevia is a serioushealth issue and is associated with high fetal-maternalmorbidity and mortality. Especially the central placenta praeviais one of the most dangerous states in obstetrics.Objective: The objective of the study is to investigate theoutcome of central placenta praevia and to determine area ofconcern which requires maximum focus to decrease theincidence.Materials and Methods: This cross sectional study wasconducted over a period of two years (from January 2018 toDecember 2019) in the department of Obstetrics andGynaecology at HFRCMCH, Dhaka, Bangladesh.Results: A total numbers of 2479 antenatal patients had beenexamined in this study. Out of 2479 antenatal patient1380(55.67%) were caesarean section delivery. Among them53(2.14%) were suffering placenta praevia. Out of 53 placentapraevia, 47 were central placenta praevia. In percentageanalysis it is 88.68%, which is too high. All the placenta praeviapatients were delivered by caesarean section. 37 weredelivered by elective caesarean section16 were delivered byemergency caesarean section. Among 16 emergencydeliveries, 8 were due to Severe P/V bleeding and rest 8 forlabour pain & fetal distress. Regarding the maternal outcome,no mortality occurred but 5 patients needed ICU care, 6patients needed hysterectomy and 5 patients had bladderinjury for which they needed bladder repair. Regarding theneonatal outcome, 16 babies needed NICU support. Amongthem 5 babies died.Conclusion: Placenta praevia, especially central placentapraevia is a major cause of both maternal and fetal morbidityand mortality. If the patient has previous H/O caesareansection it becomes more serious. By observing the outcome ofthese patients in our hospital, we can also correlate it withother studies. By this way we can also take measure todecrease the incidence of maternal and fetal morbidity andmortality.