Risk Factors for Placenta Previa at Al Azyzia General Hospital

Abstract

Background: Placenta previa is the implantation of the partly or entirely in the lower segment of the uterus. It is classified as minor or major pp. It is a major cause of obstetrical hemorrhage which leads to increase in maternal morbidity & perinatal mortality, its incidence is still rising worldwide, in this study we try to focusing on the risk factors which leads to the development of pp.

Objective: To determine the risk factors for placenta previa at Al Azyzia Hospital.

Study design: case-control study.

Setting: Department of Obstetrics and Gynecology of Al-Azyzia General Hospital.

Methods: the study was healed at Al Azyzia General Hospital, (66) Pregnant ladies were presented with placenta previa, admitted to the labor room as emergency cases for evaluation of their clinical condition, in comparison to (131 comparison group) without placenta previa, during the period of July 2015 to March 2016.

Variables of interest: social history, gynecological history, blood transfusion, past & present obstetrical performance & complication.

Results: significant predictors for pregnant ladies with placenta previa were: age more than 35 years, previous history of evacuation of the uterus or dilatation & curettage, bleeding during pregnancy, delivery by c/s in previous pregnancy & multiparty.

Conclusion: placenta previa is associated with high maternal morbidity & mortality. In this study, we confirm the risk factors for the development of placenta previa which can be used in the antenatal period to identify mothers at risk.