Fetomaternal Outcome in Patients with Placenta Previa: A Review at Allied Hospital, Faisalabad

Placenta Previa: A Review of Fetomaternal Outcome

Abstract

Objective: To determine the frequency of maternal and fetal outcomes in women with placenta previa. Study Design: Descriptive study. Settings: Department of Gynecology, Allied Hospital, Faisalabad, Pakistan. Duration: 1^st September 2024 to 30^th May 2025. Methods: All women booked or un-booked presented to Allied Hospital with placenta previa were included. Patients who were managed outside the hospital and later referred to Allied Hospital for monitoring or ICU care were excluded. Results: A total of 412 women presented with placenta previa. Elective surgery was done in 216 cases and emergency surgery in 196. Peripartum hysterectomy was done in 59 (27.31%) cases in elective C-section and 43 (21.91%) in emergency C-section. Uterine compression sutures were applied in 20 (9.25%) elective C-sections and 13(6.63%) in emergency C-sections. Maternal mortality tool placed in 2 (0.48%) cases.  16 (7.40%) babies were admitted to NICU in elective surgery and 41 (20.92%) in emergency surgery. Neonatal mortality was 10 (4.63%) in elective surgery and 31 (15.81%) in emergency surgery. Conclusion: Placenta previa is associated with increased maternal and perinatal morbidity. However, regular antenatal care, proper counselling of the patient, arrangement of blood, and a multidisciplinary approach can reduce both maternal and fetal morbidity and mortality.