Frequency of placenta previa in previously scarred and non scarred uterus

Majeed, Tayyaba; Waheed, Fatima; Mahmood, Zahid; Saba, Kanwal; Mahmood, Hamis; Bukhari, Mulazim Hussain

doi:10.12669/pjms.312.6509

Cited by 12 publications

(11 citation statements)

References 20 publications

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“…The frequency of placenta previa in scared uterus in this study was 54% and 46% in unscarred uterus whereas in the study by Majeed T et al the frequency of placenta previa in previously scarred uterus was 67.54% and non-scarred uterus was 32.45%. 17 In this study 61% of cases presented before the age of 30 years compared to 77% of cases by Faiz et al and 95% of cases by Rangaswamy et al 2,4 Maximum patients were in the age range of 26 to 30. Placenta previa was present mostly in multiparous with parity 1 to 5 that included 67% of cases similar to study by Iqbal K et al which included 48% of cases.…”

Section: Discussionmentioning

confidence: 43%

A comparative study of obstetrics outcome of placenta previa in scarred versus unscarred uterus at tertiary Hospital, Kathmandu, Nepal

Upreti¹,

Rauniyar

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Placenta previa is an obstetric life-threatening condition with several maternal and fetal complications. The objective of this study is to compare the maternal and fetal outcome of placenta previa in scarred and unscarred uterus.Methods: A retrospective case control study was carried out on 85 cases of placenta previa in the department of obstetrics and gynecology, Paropakar Maternity and Womens Hospital (PMWH) Kathmandu from April 2019 to May 2020 of which 46 had scarred uterus and 39 cases had unscarred uterus.Results: Sixty-one of patients were less than 30 years of age, 62% presented with gestational age 28 to 37 weeks and 67% had parity between 1 to 5. Frequency of placenta previa in scarred uterus was 54% and that in unscarred uterus was 46%. Eighty percent cases with scarred uterus had anterior placenta compared to 33% of cases of unscarred uterus with p value of 0.009. 42% had grade 4 placenta previa on ultrasonography. 45 percent of patient with scarred uterus had PPH compared to 23% in unscarred group with p value of 0.03. Malpresentation was found in 7 cases in scarred group and in one case in unscarred. Cesarean hysterectomy was performed in 6 cases in scarred category compared to 2 in unscarred. Low birth weight was present in 28 cases in scarred category compared to 15 cases in unscarred category with p value 0.03.Conclusions: This study concluded that fetal and maternal outcome is adverse for cases of placenta previa with scarred uterus compared to unscarred uterus.

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Section: Discussionmentioning

confidence: 43%

A comparative study of obstetrics outcome of placenta previa in scarred versus unscarred uterus at tertiary Hospital, Kathmandu, Nepal

Upreti¹,

Rauniyar

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…Placenta previa was found to be substantially correlated with prior uterine curettage, prior caesarean section, maternal age, and multiparity. 11 When compared to previous vaginal births, Safak Ozdemirci et al from the Department of Obstetrics and Gynecology at the Etlik Zubeyde Hanim Women's Health and Teaching Hospital in Ankara, Turkey, explained in their study that previous caesarean births are more frequently linked to increased massive haemorrhage and placental adhesion anomalies in subsequent pregnancies with placenta previa. All subgroups of previous caesarean births had statistically greater rates of placental adhesion abnormalities than those of prior vaginal births (12.4 versus 32.7%.…”

Section: Tablementioning

confidence: 99%

Prevalence Of Placenta Previa In Pregnant Women With Previous Self Selected Caesarean

Athar¹,

Arshad

Ali

et al. 2022

Med.Sci.Jour.Adv.Res

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Background: with the increasing numbers of elected caesarean the cases of abnormal placental implantation such as previa is also increasing. Mortality and morbidity of mother increase with placenta previa due to increase in the incidence of bleeding during pregnancy. Objective: this study was performed to evaluate the prevalence between repeated elective caesarean section and abnormal implantation of plancenta / previa. Material and Patients: It is a cross-sectional study conducted over a period of 4 months from February 2022 to May 2022. A sample size of 35 patients was collected using purposive sampling technique. Data was collected from Lady Atchison Hospital Lahore and Christian Memorial Hospital. Patients with history of elected caesarean without any medical emergency were included in the current study. Patients with multiple gestations, patients with placental abruption, female with gestational age less than 28 weeks, smoker, diabetic patients and hypertensive patients were excluded. Data was analyzed using SPSS 20 Results: In the present study 35 patients were selected .Out of total 35 participants females aged 30yrs were more prevalent.. Regarding gestational age most femalesin this study had gestational age 28weeks In total 35 participants Placenta Previa was seen in 20 participates. Most cases of placenta Previa are seen in females who are gravida4 and para3. Conclusion: The study concluded that elected C-section and placenta previa are closely linked. It showed that pregnancies at the gestational age of 28 – 29 weeks have high privilege of placenta previa.

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“…In placenta percreta, placental villi penetrate beyond the myometrium into the uterine serosa and other pelvic organs like the Original Article urinary bladder, etc. 4 The incidence of placenta accreta ranges from 1/300 to 1/2000 pregnancies. 1 Placenta praevia, also known as placenta accreta spectrum, is an obstetric risk factor linked to antepartum, intrapartum, and postpartum hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Foeto-Maternal Outcome in Women with Placenta Praevia and Morbidly Adherent Placenta Praevia

Sultana¹

2022

Ann Pak Inst Med Sci

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Objective: To determine the maternal and foetal outcome in pregnant women with placenta praevia and morbidly adherent placenta praevia Methodology: A prospective case series was carried out in a tertiary care institution between 2019 and 2021. All pregnant women with placenta praevia and placenta accreta spectrum who were over 28 weeks gestation were included, regardless of whether they received their diagnoses during pregnancy or during surgery. Data was collected on structured proforma regarding demographic characteristics, obstetric factors, management options, and intraoperative complications to determine foeto-maternal outcome in women with placenta praevia and morbidly adherent placenta praevia. Results: Total number of patients with placenta praevia was 140; out of which 31 (22.1%) had placenta accreta spectrum. All cases of morbid adherence were found in major degree placenta praevia (p= 0.00). Antepartum haemorrhage in current pregnancy was more associated with placenta praevia as compared to morbidly adherent placenta praevia (p=0.00). Both placenta praevia with and without morbid adherence led to preterm birth (p=0.00). LSCS as mode of delivery in previous pregnancy, step-wise-devascularization, caesarean hysterectomies, bladder injury, blood loss more than 1000ml, number of blood transfusions, and mothers required ICU care were significantly associated (p≤0.05) with morbidly adherent placenta praevia as compare to placenta praevia without morbid adherence. In cases of placenta accreta spectrum; 11(33.3%) babies were admitted in NICU as compare to 29(25.9%) in placenta praevia without placenta accreta spectrum. Conclusion: Placenta praevia is adversely affected by placenta accreta spectrum is associated with higher foeto-maternal morbidity as compared to placenta praevia without adherence.

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Frequency of placenta previa in previously scarred and non scarred uterus

Cited by 12 publications

References 20 publications

A comparative study of obstetrics outcome of placenta previa in scarred versus unscarred uterus at tertiary Hospital, Kathmandu, Nepal

A comparative study of obstetrics outcome of placenta previa in scarred versus unscarred uterus at tertiary Hospital, Kathmandu, Nepal

Prevalence Of Placenta Previa In Pregnant Women With Previous Self Selected Caesarean

Foeto-Maternal Outcome in Women with Placenta Praevia and Morbidly Adherent Placenta Praevia

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