Association Of Placenta Praevia in Scared Uterus with Maternal and Perinatal Outcome—Study Of 50 Cases in Rajshahi Medical College Hospital
Year: 2026
Type: article
Study design: Observational Study
Abstract: Background: Antepartum haemorrhage (APH) in third trimester of pregnancy is still an important cause of maternal death in our country. It is no longer a common cause of maternal mortality in the developed countries. However, APH still continues to be an important contributor to perinatal mortality and is responsible for significant maternal and infant morbidity. The mortality ice of placenta praevia ranges from 0.5% to 1.0% amongst hospital delivery19. There is a 4.0 to 8.0 percent chance of a recurrence in women who have had a placenta praevia in a previous pregnancy13. Pregnant women with a history of caesarean section must be regarded as being at increased risk of the subsequent development of placenta praevia & that causes increase maternal and fetal morbidity and mortality. Objectives: General objectives, To see the association of placenta praevia in scarred Uterus. Specific objectives To find out the maternal and perinatal outcome of placenta praevia. To find out the risk factors of placenta praevia, the maternal, perinatal morbidity and mortality caused by placenta praevia and also to assess the management of placenta praevia. METHODOLOGY: This is a prospective cross sectional study was carried out in the department of Obstetrics & Gynaecology, Rajshahi Medical College Hospital during july 2019 to june 2020 and comprised 50 cases of placenta praevia who were agreed to include this study. Detailed history, clinical examination and relevant lab. Investigations were done for the management. Maternal and perinatal outcome were recorded. RESULT: Most of the patients (68.0%) with placenta praevia came with moderate to severe degree of anaemia at the time of admission. Forty four percent (44.0%) of the patients came with labour pain and majority (30.0%) of them were in haemorrahage without shock on admission. Those in whom vaginal delivery were occurred, perinatal deaths were more as compared to that with operative delivery. Thirty four percent of the patients were managed expectantly. The incidence of perinatal death and maternal mortality were much lower in expectantly managed patients. PPH 36% placenta praevia in scarred uterus and 16% placenta praevia in un scarred Uterus; wound infection 10% were two most common postpartum complications. Postpartum complications were common among type- III and type-IV placenta praevia, Six percent mother died due to complication related to severe hemorrhage. Conclusion: The frequency of placenta praevia increases with increasing number of previous C-section and associated adverse maternal and perinatal outcome. So patients with previous C-section should be considered as high risk for developing placenta praevia.
Institution: Rajshahi Medical College
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7163190881