Frequency of multiparity and previous caesarean section in patients with placenta previa

Abstract

Objective. This study was conducted to find out frequency of previous caesarean section and multiparty in patients having placenta previa. Study design.        It was a descriptive cross sectional study. Settings. This study was carried out at department of obstetrics and gynaecology, Nishtar Hospital Multan. Study Period. This study was carried out from April 2016 to April 2017. Subjects and Methods. Two hundred and fifty four patients were included in the study according to the inclusion criteria. The required information with age, parity and history of previous cesarean section was collected on a specially designed proforma. Whole information was analyzed through SPSS version 20. Results. In our study most of the patients were 31-40 yrs old (55.5%), followed by 20-30 yrs (37.79%). Most of the patients were multigravida (81.10%) and only (18.89%) were primigravida  in our study. Majority of the patients (57.08%) were at <37wks and 62.59% were having previous caesarean  section. Conclusion.          Those patients with previous caesarean section who are multiparous and above thirty yrs of age constitute a high risk group for having placenta previa in next pregnancy so these high risk patients should be identified, properly counseled    and appropriate steps should be taken in next pregnancy so as to optimize fetomaternal outcome.

Keywords; Placenta previa, cesarean section, multiparity.