Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals

Background: Pregnancy complications that arise in the second and third trimesters include placenta previa (PP). Objectives: The aim of this study was auditing the current management of placenta previa at Qena university hospital to improve Obstetric care through the use of limited resource and util...

Full description

Bibliographic Details
Main Authors: Mostafa Khodary, Mohamed Mahrous Mahmoud, Mahmoud Soliman Moaad
Format: Article
Language:English
Published: South Valley University, Faculty of Medicine 2024-01-01
Series:SVU - International Journal of Medical Sciences
Subjects:
Online Access:https://svuijm.journals.ekb.eg/article_335989.html
_version_ 1797258191310946304
author Mostafa Khodary
Mohamed Mahrous Mahmoud
Mahmoud Soliman Moaad
author_facet Mostafa Khodary
Mohamed Mahrous Mahmoud
Mahmoud Soliman Moaad
author_sort Mostafa Khodary
collection DOAJ
description Background: Pregnancy complications that arise in the second and third trimesters include placenta previa (PP). Objectives: The aim of this study was auditing the current management of placenta previa at Qena university hospital to improve Obstetric care through the use of limited resource and utilization of available services. Identify the gap between the current practice on management of cases with placenta previa at Qena university hospital and the ideal practice according to the international guidelines. Patients and methods: This study was retrospective Observational study, all patients admitted to Obstetric and gynecological department at Qena university hospital who are diagnosed of having placenta previa (according to to RCOG) during the period from June 2020 to June 2022. Results: 172 out of 200 patients had placenta previa, whereas 28 patients had low lying placenta. Regarding depth of invasion 28 (14%) cases had placenta accreta, 4 (2%) cases had placenta percreta and 2 (0.7%) cases had placenta increta, Regarding additional surgical steps, no additional steps were needed in 12 (6%) cases, 176 (88%) cases needed bilateral uterine artery ligation and 12 (6%) cases needed bilateral internal iliac artery ligation Conclusion: The authors of the current study draw the conclusion that placenta previa offers a significant risk to mothers on its own. These patients should be delivered in a tertiary facility with the assistance of a multidisciplinary team. A higher number of prior LSCS is associated with a higher likelihood of placentae accrete.
first_indexed 2024-04-24T22:49:36Z
format Article
id doaj.art-ef49f18777e7400cac6b3425d7b52e1d
institution Directory Open Access Journal
issn 2735-427X
2636-3402
language English
last_indexed 2024-04-24T22:49:36Z
publishDate 2024-01-01
publisher South Valley University, Faculty of Medicine
record_format Article
series SVU - International Journal of Medical Sciences
spelling doaj.art-ef49f18777e7400cac6b3425d7b52e1d2024-03-18T11:07:27ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022024-01-0171144151https://doi.org/10.21608/svuijm.2022.168651.1432Clinical Audits of Placenta Previa and their Outcomes at Qena University HospitalsMostafa Khodary0Mohamed Mahrous Mahmoud1Mahmoud Soliman Moaad2Department of Obstetrics and Gynecology, Faculty of Medicine, South valley University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, South valley University, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, South valley University, EgyptBackground: Pregnancy complications that arise in the second and third trimesters include placenta previa (PP). Objectives: The aim of this study was auditing the current management of placenta previa at Qena university hospital to improve Obstetric care through the use of limited resource and utilization of available services. Identify the gap between the current practice on management of cases with placenta previa at Qena university hospital and the ideal practice according to the international guidelines. Patients and methods: This study was retrospective Observational study, all patients admitted to Obstetric and gynecological department at Qena university hospital who are diagnosed of having placenta previa (according to to RCOG) during the period from June 2020 to June 2022. Results: 172 out of 200 patients had placenta previa, whereas 28 patients had low lying placenta. Regarding depth of invasion 28 (14%) cases had placenta accreta, 4 (2%) cases had placenta percreta and 2 (0.7%) cases had placenta increta, Regarding additional surgical steps, no additional steps were needed in 12 (6%) cases, 176 (88%) cases needed bilateral uterine artery ligation and 12 (6%) cases needed bilateral internal iliac artery ligation Conclusion: The authors of the current study draw the conclusion that placenta previa offers a significant risk to mothers on its own. These patients should be delivered in a tertiary facility with the assistance of a multidisciplinary team. A higher number of prior LSCS is associated with a higher likelihood of placentae accrete.https://svuijm.journals.ekb.eg/article_335989.htmladherent placenta cesarean section hysterectomy placenta previa
spellingShingle Mostafa Khodary
Mohamed Mahrous Mahmoud
Mahmoud Soliman Moaad
Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals
SVU - International Journal of Medical Sciences
adherent placenta cesarean section hysterectomy placenta previa
title Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals
title_full Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals
title_fullStr Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals
title_full_unstemmed Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals
title_short Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals
title_sort clinical audits of placenta previa and their outcomes at qena university hospitals
topic adherent placenta cesarean section hysterectomy placenta previa
url https://svuijm.journals.ekb.eg/article_335989.html
work_keys_str_mv AT mostafakhodary clinicalauditsofplacentapreviaandtheiroutcomesatqenauniversityhospitals
AT mohamedmahrousmahmoud clinicalauditsofplacentapreviaandtheiroutcomesatqenauniversityhospitals
AT mahmoudsolimanmoaad clinicalauditsofplacentapreviaandtheiroutcomesatqenauniversityhospitals