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...
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Format: | Article |
Language: | English |
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South Valley University, Faculty of Medicine
2024-01-01
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Series: | SVU - International Journal of Medical Sciences |
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Online Access: | https://svuijm.journals.ekb.eg/article_335989.html |
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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 |
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