Frequency of Abnormal Placentation in Patients with Previous Caesarean Section
Background: To assess relationship between previous caesarean scar and subsequent development of placenta praevia and its morbid adherence. Methods: This analytical study was conducted in the Department of Gynaecology and Obstetrics, Military Hospital, Rawalpindi from 1st July to 31st December 2006....
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2007-06-01
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| Series: | Journal of Rawalpindi Medical College |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/781 |
| Summary: | Background: To assess relationship between previous
caesarean scar and subsequent development of placenta
praevia and its morbid adherence.
Methods: This analytical study was conducted in
the Department of Gynaecology and Obstetrics, Military
Hospital, Rawalpindi from 1st July to 31st December 2006.
122 pregnant women with history of previous caesarean
sections beyond 32 weeks of gestation whether booked or
unbooked, irrespective to number of caesarean scars with
or without bleeding per vagina were included in this
study. Cases with previous myomectomy, uterine repair,
placental abruption, bleeding per vagina due to local
causes were excluded. Patients were divided into four
groups. Group A with previous one caesarean section,
group B with previous, two caesarean sections, Group C
previous three caesarean sections and, Group D with
previous four caesarean sections.
Results: Group A included 69 patients and 07 (10%)
were found to have placenta praevia. In Group B 32
patients were studied and placenta praevia was diagnosed
in 5 (15.6%) of them. Similarly in Group C 12 patients were
studied and 4 (33.3%) had placenta praevia. The study of
Group D showed placenta praevia in 3 out of 9 (33.3%)
patients. There was 2 case of placenta accreta in group A, C
and D and one in group B.
Conclusion: The percentage of placenta praevia and
morbidly adherent placenta rises with increasing number
of caesarean sections. |
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| ISSN: | 1683-3562 1683-3570 |