Perinatal mortality of placenta previa: a 1-year retrospective study

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dc.contributor.authorChattopadhyay, Shibramen_US
dc.contributor.authorMajumder, Siddharthaen_US
dc.contributor.authorPatra, Kajal Kumaren_US
dc.contributor.authorKamal, A. H. Mostafaen_US
dc.date.accessioned2020-10-16T07:52:52Z
dc.date.available2020-10-16T07:52:52Z
dc.date.issued2019-01
dc.description.abstractBackground: Antepartum haemorrhage is one of the important causes of perinatal mortality and morbidity in India. The increased risk of perinatal morbidity and mortality in placenta praevia is due to preterm birth, low birth weight, birth asphyxia and neonatal sepsis. This is a retrospective study done over a period of 5years to determine the incidence, demographic features, risk factors, obstetric management, maternal mortality and morbidity, and perinatal outcome in women presenting with placenta praevia.Methods: This was a retrospective study done at Nil Ratan Sircar Medical College and Hospital over a period of five years starting from January 2016 to December 2017. Antenatal women with more than 28 weeks of gestational age with a complaint of painless vaginal bleeding or those diagnosed as having placenta praevia on routine ultrasound examination were included in this study and hospitalised.  Among them cases of placenta praevia were 21.Results: There were21 cases of placenta praevia registered amounting to 0.23% incidence. The various antenatal complications seen associated with placenta praevia were severe anaemia (14.28%), coexisting PIH (4.76%), IUD (4.76%), IUGR/Oligohydraminos (4.76%). All the patients in the study had undergone caesarean deliveries. Perinatal morbidity studied as percentage of new-borns requiring resuscitation followed by NICU admission was 33.3%. Among the delivered patients of placenta praevia incidence of perinatal mortality was 23.8%. Prematurity (42.85%) contributed to most cases of perinatal mortality, followed by RDS (14.28%) and asphyxia (14.28%).Conclusions: In this study placenta praevia is seen more commonly in 28-34 weeks of gestation and patients mainly presented with a bout of bleeding eventually had preterm deliveries. Although vaginal deliveries are appropriate in selected cases of placenta paevia liberal use of caesarean section in well-equipped hospitals with availability of blood transfusion services have helped to lower complications.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Obsetrics and Gynaecology, Bankura Sammilani Medical College, Bankura, West Bengal, Indiaen_US
dc.identifier.citationChattopadhyay Shibram, Majumder Siddhartha, Patra Kajal Kumar, Kamal A. H. Mostafa. Perinatal mortality of placenta previa: a 1-year retrospective study. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Jan; 8(1): 31-34en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206398
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20185090en_US
dc.subjectAntepartum haemorrhageen_US
dc.subjectAsphyxiaen_US
dc.subjectPerinatal mortalityen_US
dc.subjectPlacenta praeviaen_US
dc.subjectPrematurityen_US
dc.titlePerinatal mortality of placenta previa: a 1-year retrospective studyen_US
dc.typeJournal Articleen_US
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