“Association Between Placenta Previa and Previous C-Sections”

Abstract

Placenta Previa is defined as a condition where the placenta covers the opening of the cervix. It can cause severe bleeding during pregnancy. Its incidence is about 0.28–2%. Objective: The main objective of this study was to find any association between placenta previa and previous C-section among patients presenting at Obstetrics & Gynaecology Department of Sheikh Zayed Hospital, Rahim Yar Khan. Methods: This descriptive cross sectional study was carried out from April 2019 to October 2019 at Department of Obstetrics and Gynaecology Unit III, Sheikh Zayed Hospital, Rahim Yar Khan. 60 patients were selected aged 18-40 years with singleton pregnancy at gestational age more than 24 weeks and having history of one or more cesarean sections in previous pregnancies were included in the study. Results: 60 patients included in this study had mean age of 32.31+ 4.0 years, the mean gestational age was 32.02+ 3.21 weeks. Out of 60 cases, 2(9.5%) placenta previa was seen in one previous C-Section, 3(8.6%) and 1(25%) placenta previa were seen in 2nd 3rd previous C-section respectively. Placenta previa less seen in 2(9.1%) cases with abortion as compare to 4(10.5%) cases with no abortion. The smoking history was seen in only 2(40%) cases having placenta previa. Conclusion: The conclusion of this study that placenta previa is not so common in pregnancies after cesarean section but its number is significantly high in cases that had previous 1 or 2 cesarean sections. Keywords: Placenta Previa, C-section, multiparity, vaginal bleeding