Study of Placental Location and Pregnancy Outcome with Previous Caesarean Delivery

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dc.contributor.authorBasavaradder, VinodKumar Sureshen_US
dc.contributor.authorSingh, Ch. Manglemen_US
dc.contributor.authorSingh, Ng. Indrakumaren_US
dc.contributor.authormohanty, Ipsitaen_US
dc.date.accessioned2020-01-02T06:09:11Z
dc.date.available2020-01-02T06:09:11Z
dc.date.issued2019-11
dc.description.abstractBackground: With the globally emerging trend of Caesarean deliveries, there arises a more pressing matter of subsequent pregnancy outcomes with previous caesarean deliveries. Especially, the physiology of Placental localisation being a poorly understood phenomena, question arises, whether a previous caesarean scar can influence the site of placental implantation, subsequent migration and pregnancy outcome. The objective of present study is placental localisation and study of maternal and foetal outcome in previous caesarean delivery patients. Methods: A prospective longitudinal study on 100 previous caesarean patients was conducted over a period of 20 months at Department of obstetrics and gynaecology at JNIMS. Placental location was determined ultrasonographically between 28 to 42 weeks gestation, Patients followed up and feto-maternal outcomes analysed. Results: In most, placenta located fundo-anterior and fundo-posterior (30% each) and five (5%) patient reported placenta previa. The study suggests that maternal complications like postpartum haemorrhage (60% vs 6.3) and requirement for interventions (40% Vs 11.6%) were higher among praevia patients. Foetal complications like low Apgar (40% Vs 9.5%) were higher in patients with placenta praevia w.r.t. normal placentation. Low birth weight was 57 fold higher, Preterm birth 10.9 fold higher and NICU admissions were 1.7 fold higher among placenta praevia. Conclusion: A caesarean first birth is associated with increased risks of low lying placentation, previa and abruption, intraoperative blood loss, perioperative morbidity and increased operative time in subsequent pregnancy.en_US
dc.identifier.affiliationsPostgraduate trainee, Department, Obstetrics and Gynaecology, JNIMS, porompet Imphal, Manipur.795001en_US
dc.identifier.affiliationsProfessor, Department, Obstetrics and Gynaecology, JNIMS, porompet Imphal, Manipur.795001en_US
dc.identifier.affiliationsProf &Head of the Department, Obstetrics and Gynaecology, JNIMS, porompet Imphal, Manipur.795001en_US
dc.identifier.affiliationsPostgraduate, Dept OBG, JNIMS, Imphal, Manipuren_US
dc.identifier.citationBasavaradder VinodKumar Suresh, Singh Ch. Manglem, Singh Ng. Indrakumar, mohanty Ipsita. Study of Placental Location and Pregnancy Outcome with Previous Caesarean Delivery. Annals of International medical and Dental Research. 2019 Nov; 5(6): 1-5en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/189143
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber6en_US
dc.relation.volume5en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2019.5.6.OG1en_US
dc.subjectPlacenta praeviaen_US
dc.subjectPlacental localizationen_US
dc.subjectPost caesarean patienten_US
dc.subjectMaternal outcomeen_US
dc.subjectFoetal outcomeen_US
dc.subjectPregnancyen_US
dc.titleStudy of Placental Location and Pregnancy Outcome with Previous Caesarean Deliveryen_US
dc.typeJournal Articleen_US
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