Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college
Background: The incidence of placenta previa is increasing over the decades in view of increased incidence of caesarean delivery. Hence increasing the complications of scarred uterus during delivery. Aim: To compare maternal and perinatal outcome in placenta previa with scarred and unscarred uterus....
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2021-01-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/07212.pdf |
| Summary: | Background: The incidence of placenta previa is increasing over the decades in view of increased incidence of caesarean delivery. Hence increasing the complications of scarred uterus during delivery. Aim: To compare maternal and perinatal outcome in placenta previa with scarred and unscarred uterus. Materials and methods: A case control study of 202 cases were divided into two groups - A (Scarred uterus involving 62 cases) and B (unscarred uterus involving 140 cases) for the study period of June 2017 to December 2019. Patients attending OPD/Labour room with complaints of antepartum haemorrhage or diagnosed placenta previa by ultrasonography after 24 weeks of gestation were included in the study. Results: Incidence of placenta previa in scarred uterus is 0.243% and unscarred uterus was 0.55%. Intraoperative complications like placental bed bleeding (p value - 0.000), atonic PPH (Post-Partum Haemorrhage) (p value-0.001), medical management of PPH (p value-0.001), pressure sutures (p value-0.306), accreta (0.000), bladder injury and repair (p value-0.000) were more in scarred uterus when compared to unscarred uterus. The birthweight, NICU (Neonatal Intensive Care Unit) admissions did not differ between scarred and unscarred uterus. Conclusions: In this study the intraoperative complications and postoperative morbidity was higher, which was statistically significant in scarred uterus group when compared to unscarred uterus group. |
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| ISSN: | 2454-2334 2454-2342 |