Frequency of Placenta Previa in Women with Previous Caesarean Section

Abstract

Objectives: To determine the frequency of placenta previa in women with previous caesarean section presenting at Obstetrics and Gynecology department. Study Design: Descriptive (cross-sectional) study Setting and Duration: The study was carried out in the Department of Obstetrics and Gynecology of Abbottabad Medical Complex, Abbottabad and Mufti Mehmood Teaching Hospital, D. I. Khan during from December 2020 to May 2021. Methodology: The study population included those who have had at least one or more caesarean section, whether emergency or elective and irrespective of the cause of previous caesarean section with age group of 20 to 45 years of age. Patients fulfilling the inclusion and exclusion criteria were enrolled in the study after taking the informed consent. The aims and objectives of the study were explained to the patients being enrolled and their relatives and assured about confidentiality of information. Women included in the study underwent complete history, physical and gynecological examination. Results: A Total of 147 patients were included in the study sample with placenta previa. Mean age of the patients was 28.69±6.086, ranging from 20 to 45 years. Mean value of the parity was 3.18±1.141 ranging from 2 to 7 in the descriptive analysis, and the mean of gestational age (weeks) was 39.029±1.5618 ranging from 36.4 to 41.0 weeks. Out of 147 patients, Placenta previa diagnosed by ultrasound was found in 26(17.7%) patients. Conclusion: The study concludes that the frequency of PP in this setting is in keeping with globally cited frequencies. Other findings such as causes of PP and maternal morbidity data also agree with most national and international studies on this topic. Key Words: Placenta previa, Previous Caesarean Section