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: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Barpeta Obstetrics and Gynaecological Society
2021-01-01
|
| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/07212.pdf |
| _version_ | 1818875387465170944 |
|---|---|
| author | Sahaja Kittur Deepthi GN Hemalatha KR |
| author_facet | Sahaja Kittur Deepthi GN Hemalatha KR |
| author_sort | Sahaja Kittur |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T13:25:41Z |
| format | Article |
| id | doaj.art-eedf581faa654c81b44c655bc8869e39 |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-12-19T13:25:41Z |
| publishDate | 2021-01-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-eedf581faa654c81b44c655bc8869e392022-12-21T20:19:34ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422021-01-017221221810.21276/obgyn.2021.7.2.20Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical collegeSahaja Kittur0Deepthi GN1Hemalatha KR2Associate Professor, Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Sciences, IndiaPostgraduate, Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Sciences, IndiaProfessor, Department of Obstetrics and Gynaecology, Karnataka Institute of Medical Sciences, IndiaBackground: 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.https://journal.barpetaogs.co.in/pdf/07212.pdfplacenta accretascarred uterusunscarred uterus |
| spellingShingle | Sahaja Kittur Deepthi GN Hemalatha KR Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college New Indian Journal of OBGYN placenta accreta scarred uterus unscarred uterus |
| title | Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college |
| title_full | Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college |
| title_fullStr | Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college |
| title_full_unstemmed | Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college |
| title_short | Maternal and perinatal outcome in placenta previa with scarred and unscarred uterus: a comparative study in a tertiary care centre and medical college |
| title_sort | maternal and perinatal outcome in placenta previa with scarred and unscarred uterus a comparative study in a tertiary care centre and medical college |
| topic | placenta accreta scarred uterus unscarred uterus |
| url | https://journal.barpetaogs.co.in/pdf/07212.pdf |
| work_keys_str_mv | AT sahajakittur maternalandperinataloutcomeinplacentapreviawithscarredandunscarreduterusacomparativestudyinatertiarycarecentreandmedicalcollege AT deepthign maternalandperinataloutcomeinplacentapreviawithscarredandunscarreduterusacomparativestudyinatertiarycarecentreandmedicalcollege AT hemalathakr maternalandperinataloutcomeinplacentapreviawithscarredandunscarreduterusacomparativestudyinatertiarycarecentreandmedicalcollege |