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Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-4 | Issue-11 | 413-417
Original Research Article
Neonatal and Maternal Complications of Placenta Previa: A Single Center Study in Bangladesh
Dr. Maleka Sultana, Nilufer Sultana, Zinnat Ara Nasreen, Dr. Joysree Saha
Published : Nov. 3, 2021
DOI : 10.36348/sijog.2021.v04i11.001
Abstract
Background: Placenta previa is a disorder which happens during pregnancy when the placenta is abnormally placed in the ‘lower uterine segment’, covers the cervix. The increasing trends of cesarean delivery rate causes a marked increase in abnormally invasive placenta over the past decades. We are in need of more research-based data regarding possible complications of placenta previa in Bangladesh. Aim of the study: The aim of the present study was to assess the neonatal and maternal complications of placenta previa. Methods: This prospective observational study was conducted in the Department of Obstetrics & Gynaecology, Dhaka Medical College Hospital of Dhaka, Bangladesh during the period from April 2020 to March 2021. In total 87 placenta previa cases whose singleton deliveries took place at the mentioned hospital during the first year of the study were selected as the study subjects for analysis. For data cleaning, the coded-data were entered into EPI Info version 3.5. The cleaned data were exported to SPSS version 25 and analyzed. P value < 0.05 was considered as statistically significant. Results: In this study, in analyzing the maternal complications we observed, ‘hospital stay ≥14 days, ‘anemia’, ‘blood transfusion ≥2 and ‘PPH (Post-partum hemorrhage)’ were the most frequent maternal complications. Those 4 major complications were found in 36.78%, 29.89%, 24.14% and 21.84% cases respectively. On the other hand, ‘admission to NICU’, ‘dead babies’, ‘APGAR score at 1 min <7, and ‘low birth weight’ were found as the 4 most frequent neonatal complications in this study. Those 4 major complications were found in 22.99%, 21.84%, 13.79% and 12.64% cases respectively. Conclusion: Women with placenta previa should be considered as caring high risk and compatible blood should always be ready for such cases before considering caesarian section. Family planning should also be emphasized as a strategy to reduce of parity, caesarean section rate and possibilities of placenta previa. Strategies and protocols should be settled to reduce the rate of CS (caesarean section) and senior staffs and proper instruments have to be involved in the management of cases of placenta previa.
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