Full Article: PDF
Scientific Object Identifier: http://s-o-i.org/1.1/TAS-09-65-20
DOI: https://dx.doi.org/10.15863/TAS.2018.09.65.20
Language: English
Citation: Liaqat H, Habib S, Shabbir A (2018) ABNORMAL PLACENTATION AND FETAL OUTCOME. ISJ Theoretical & Applied Science, 09 (65): 129-133. Soi: http://s-o-i.org/1.1/TAS-09-65-20 Doi: https://dx.doi.org/10.15863/TAS.2018.09.65.20 |
Pages: 129-133
Published: 30.09.2018
Abstract: Objective: This study was done to determine fetal complications related to abnormal position of placenta. Design and duration: This is an observational study of cross sectional type. Study duration was comprised on 6 months duration from January 2018 to July 2018. Setting: Study was conducted in Gynecology and obstetrics ward of Nishter Hospital Multan, Pakistan. Patients and Methods: patients for this study were selected from the gynae ward of the study institution. An inclusion and exclusion criteria was developed according to which all patients presenting in the study hospital during study period with placenta previa or abruption placenta were included in this study. Position of placenta was diagnosed on ultrasound done by consultant radiologist. Mothers having co-morbidities like pre-eclempsia, eclempsia, gestational diabetes, IHD or malignancy or tuberculosis etc were not included in the study. Only those cases were included which were admitted in the study hospital for delivery. Proper history about previous miscarriage or recently any complication or bleeding was asked. Examination was done and ultrasound abdomen done to know fetal well being. These cases were planned for cesarean section as normal delivery was complicated due to abnormal placenta position. All data was noted down on a performa and data was analyzed using statistical softwares Results calculated in the form of frequency and percentage and expressed in the form of table and graphs. Results: Total 68 cases were included in this study falling on inclusion criterion. Age of these cases was ranging from 17-38 years with mean age of 24.2±14.5 years. There were 45 cases with abruption placenta and 23 with placenta previa out of total 68 cases. Among females with abruption placenta, there were 13% cases between 15-20 years, 26% between 21-25 years, 21% between 26-30 years, 30.4% between 31-35 years and 8.7% having age above 35 years. There were 11 still births, 6 from females with abruption placenta and 5 from females with placenta previa. There were total 39 premature births out of which 53.8% due to placenta abruptia and 46.2% due to placenta previa. Out of total 57 live births 25 were admitted in neonatal ICU. Maternal mortality rate was 5.9% and perinatal mortality rate was 56.4% in placenta abruptia and 43.6% in placenta previa. P-value was less than 0.05. Conclusion: Abnormal position of placenta is associated with high rate of fetal morbidity and mortality and complicated delivery indicating cesarean section. Most of the babies in this condition are premature.
Key words: Placenta abruptia, placenta previa, perinatal mortality, fetal outcome
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