Frequency of Maternal Morbidities in Patients with Placenta Previa - A Prospective Single-Centered Study in Hazara Division.

Abstract

OBJECTIVES The study aimed to determine the maternal morbidities in patients with placenta previa in a tertiary care hospital. Moreover, patients’ risk factors and outcomes will also be accessed as secondary outcomes. METHODOLOGY This prospective cross-sectional study was undertaken at Ayub Teaching Hospital Abbottabad from January 2022 to July 2024. Any pregnant patients carrying the ultrasound diagnosis of placenta previa in an emergency or the ward were included in the study. A non-randomized convenience technique was applied for sample collection. Patients with other placental anomalies, such as placenta accreta, were excluded from the current study. The data was analyzed in SPSS version 21, and significance was kept below 0.005. RESULTS In the present study, 104 cases of placenta previa were recruited, among which 76(73%) patients fall in the age range between 24 and 34 years. The incidence of major placenta previa was observed in 76/104 cases. In 86% of cases, obstetric trauma was observed, and in 54 (52%) cases, purpureal sepsis was recorded. The purpureal sepsis was 10/36(28%) in patients with tamponade placement and 8/36(22%) in APH patients with a significance of 0.001. Presentation with antepartum hemorrhage was seen in 67% of cases (8/12) in the age group < 20 years. The maternal mortality was 2%. CONCLUSION The complication rate was relatively higher than reported in previous studies. The rate of morbidity can be minimized by following a multi-disciplinary approach. The cases should be managed in settings with ICU care and blood bank facilities.

Keywords

• Antepartum Hemorrhage
• Pregnancy Complication
• Obstetric Trauma
• Placenta Previa
• Maternal Mortality