Risk factors and pregnancy outcome in patients having Placenta Previa along with Placenta Accreta

Author(s) : Alia Nasir-ud-Din, Misbah Kauser, Asia Parveen & Afshan Saeed Usmani

Abstract:

Objective:
The objective of the study was to determine the risk factors and pregnancy outcome in patients having placenta previa along with placenta accreta.
Material and Methods:
A cross sectional study was carried out at Obstetrics & Gynecology Department, Sir Ganga Ram Hospital Lahore. Total 50 pregnant women with singleton pregnancy and >24 weeks gestation. Patients having placenta previa on trans abdominal ultrasound and during caesarean section were included in the study. Placenta previa-accreta was clinically diagnosed while doing caesarean section.
Results:
The age of patients was from 20 to 50 years, with 42.0% >36 years. Majority of the patients were multipara while primipara with placenta previa were only 3.6%. All patients with placenta previa gave the history of cesarean section. Age, parity and previous history of cesarean section has significant relation with placenta previa. 12(24.0%) and 15(30.0%) of patients showed grade-III and grade-IV placenta previa respectively. 36(72.0%) had anterior previa and 14(28.0%) had posterior previa. 16 patients underwent caesarean hysterectomy. 11(22.0%) patients were diagnosed as having placenta accreta along with placenta previa.
Conclusion:
Risk of placenta previa along with accreta rises with previous cesarean sections, age and parity. Sonographic detection of abnormal placenta should be carried out for diagnosis to avoid massive maternal hemorrhage to reduce the morbidity linked with placenta previa.

Key Words: Placenta Previa, Maternal Outcomes, placenta accreta