logo

SCARRED UTERUS-A RISK FACTOR FOR PLACENTA PREVIA

Objective: To compare the incidence of placenta previa in pregnant women with previously scarred and unscarred uterus.


Methodology
: Prospective cohort study conducted at GGH, Department of OBG, Kurnool from December 2020 to December 2022. 1000 patients (500 PVD depicts previous vaginal delivery and 500 PSU depicts previous scarred uterus). All patients were admitted through emergency or OPD.


Results
: There is an increased risk of placenta previa and related complications in scarred uterus when compared to vaginal deliveries.

In our study age is mostly found to be between 26 to30 years, gestational age between 33 to 36 weeks, placenta previa is 6 to 8% in PSU according to placenta localization by USG. Maternal complications are more in PSU group like PPH, interventions required in PSU are 35.3%, 29.4% respectively. Risk of Placenta previa is 69.2%, 27.6%, 1.2% and 2% in 1,2,3 c-sections and D&C respectively.


Conclusion
: Increase in the incidence of placenta previa is in rising trends with increase in number of c- section and surgeries on uterus.

Key words: PSU, PVD, PLACENTA PRAEVIA


Click Here For Reading Continue
For Download  :