Obstetrical haemorrhage, infections and hypertension are one of the “triad” of maternal deaths documented in both developed and developing countries. When the placenta is implanted partially or completely in the lower uterine segment it is called “Placenta previa”.
To determine the incidence, obstetric risk factors, obstetric management, maternal mortality and morbidity, perinatal outcome in women presenting with placenta previa.
Materials and Methods: Total 75 pregnant women with placenta previa were analysed between November 2016 to December 2018. After applying the inclusion and exclusion criteria, these women were analysed with respect to their age, parity, gestational age and clinical features at presentation, history, duration of hospitalization, blood transfusion, period of gestation at delivery, management, route of delivery, operative complications and ICU admissions. For the new-born birth weight, need for NICU admission, still birth rate, neonatal morbidity and mortality rate are noted down.
Results: In this study 0.37% of the deliveries were complicated with placenta previa among them 41.3% women were among 21-25 years of age and 53.3% were multigravidas. 46.7% had complete placenta previa, 29.3% had prior caesarean deliveries, 29.3% had prior abortion, 48% presented with APH. 78.7% cases delivered by caesarean delivery, 34.7% cases had postpartum haemorrhage, 2.7% had placenta accrete, 25.3% required bilateral uterine artery ligation, 14.7% required peripartum hysterectomy. There were 22.7% ICU admissions, 1% had maternal mortality. 26.7% had NICU admission, perinatal mortality being 13.3%.
Conclusion: Multiparity, prior caesarean section and prior abortions are independent risk factors for placenta previa. Placenta previa remains a risk factor for adverse maternal and perinatal outcome. The detection of placenta previa should encourage a careful evaluation with timely delivery to reduce the associated maternal and perinatal complications.