Jakia Jahan Chowdhury1, Mohammad Shamsul Alam2, Habiba Akther3, Nasrin Chowdhury4, Jafrin Yasmin Choudhury5, Nahid Elora6
1. Associate Professor(cc), Department of Gynae & Obstetrics, North East Medical College, Sylhet, Bangladesh.
2. Associate Professor & Head, Department of Forensic Medicine, North East Medical College, Sylhet, Bangladesh.
3. Associate Professor, Department of Gynae & Obstetrics, North East Medical College, Sylhet, Bangladesh.
4. Assistant Professor, Department of Gynae & Obstetrics, North East Medical College, Sylhet, Bangladesh.
5. Assistant Professor (CC), Department of Gynae & Obstetrics, North East Medical College, Sylhet, Bangladesh.
6. Professor & Head, Department of Gynae & Obstetrics, North East Medical College, Sylhet, Bangladesh.
Abstract
This prospective observational study was conducted in the Department of Obstetrics and Gynaecology Sylhet M.A.G. Osmani Medical College Hospital, Sylhet during period of July 2009 to June 2011 to explore the effects of placenta praevia on maternal and foetal outcome. Seventy five patients with placenta praevia were included The mean age of the patients was 30.28±3.24 years with commonest age group was 26-30 years (56.0%). Preterm delivery was in 62.7% cases. The commonest type of placenta praevia was type II (68.0%) with posterior (32.0%) and anterior (36.0%). Antepartum maternal complications were malpresentation (34.7%), antepartum haemorrhage (26.79%). oligohydramnios (14.7%) and hypovohmic shock (9.3%). Mode of delivery was caesarean section in most of the cases (92.7%). Postpartum maternal complications were postpartum haemorrhage (12.0%) and emergency hysterectomy (1.3%). Foetal outcome were live birth baby (94.7%), still born (5.3%), prematurity (62.7%), perinatal asphyxia (25.39%) and admission to neonatal ward (36.0%). In conclusion, high rate of cesarean section is in placenta previa and is also high foeto-maternal morbidity.
Key Words: Ante partum hemorrhage, placenta praevia, maternal mortality, maternal morbidity, foetal morbidity