Maternal and Fetal Outcome of Placenta Previa Patients Attending Ain-Shams University Maternity Hospital : Prospective Study

Awad, Ahmed Hamdy; Mansour, Dina Yahia; Habib, Sherif Mohamed

doi:10.21608/ebwhj.2019.17220.1021

Maternal and Fetal Outcome of Placenta Previa Patients Attending Ain-Shams University Maternity Hospital : Prospective Study

Document Type : Original Article

Authors

¹ Obstetrics and gynecology, day case surgery hospital, Egyptian ministry of health.

² Assistant professor of obstetrics and gynecology, faculty of medicine, Ain Shams university, Cairo, Egypt.

³ Professor of obstetrics and gynecology, faculty of medicine, Ain Shams university, Cairo, Egypt.

10.21608/ebwhj.2019.17220.1021

Abstract

Aim: This study aimed to analyze maternal and neonatal outcome measures of placenta previa patients presented to Ain Shams university maternity hospital.
Materials and Methods: A prospective study was conducted in Ain shams Maternity Hospital, in the period between September 2018 and February 2019. Study included 85 patients. Outcome measures: Maternal outcome measures included: Estimated blood loss, Amount of blood transfusion, Mode of delivery, Complications, pre and postoperative hemoglobin level, Postoperative fever, Postoperative wound infection, ICU admission. Neonatal outcome measures included: Neonatal weight, APGAR score, Prematurity, NICU admission, IUFD.
Results: The Mean age (31.82 yrs), gravidity (4.06), parity (2.71), previous CS deliveries (2.52). Other RF: E and C (7.1%), hystrotomy (2.4%), twin pregnancy (2.4%), ICSI (1.2%) and IUD (1.2%). Mean blood loss (1576.47 ml). Mean used packed RBCs units (3.48 units), mean used FFP (3.12 units). Mean hospital stay (9.39 days). Uneventful CS delivery (54.1%), CS hysterectomy (42.4%) and CS delivery plus bilateral tubal ligation (3.5%). Complications(8.2%) including: UB injury (4.7%), intestinal injury(1.2%), ureteric injury (1.2%), aspiration (1.2%), post-partum haemorrhage(3.5%), fever (8.2%), wound infection (5.9%), ICU admission(12.9%). Mean pre-operative Hb level (11.01) and mean post-operative Hb levels (8.97). Mean GA on admission very preterm (11.8%), preterm (62.4%), term (25.9%). GA at TOP: very preterm (10.6%), preterm (45.9%) and term (43.5%). Mean birth weight (2599.18g), LBW (30.6%). APGAR scores at 1 minute; normal(42.4%), moderately depressed (40%), severely depressed(17.6%). At 5 minutes; normal(85.9%) moderately depressed(10.6%), severely depressed(3.5%). NICU admission(22.4%). IUFD (5.9%).
Conclusion: Placenta previa has higher incidence rate with increasing maternal age, gravidity, parity and number of previous caesarean section deliveries. Placenta previa patients at risk of numerous maternal and neonatal morbidities, maternal morbidities include life threatening haemorrhage, caesarean hysterectomy, blood component transfusion, prolonged hospital stay and ICU admission. Neonatal morbidities include premature delivery, low birth weight, intrauterine foetal death and NICU admission.

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