FREQUENCY OF UTERINE CURETTAGE IN PATIENTS WITH PLACENTA PREVIA AT A TERTIARY CARE HOSPITAL

Abstract

Background; Placenta Previa is an obstetric complication that occurs in the second and third trimester of pregnancy. It may cause serious morbidity and mortality to the mother. This study was conducted to ascertain uterine curettage in placenta previa. Objective; To determine frequency of uterine curettage in patients with placenta previa at a tertiary care hospital. Subjects and Methods; A total 96 patients with placenta previa aged 20 – 45 years having placenta previa were enrolled from Department of Obstetrics & Gynaecology, Nishtar  Hospital, Multan in this cross-sectional study. Data was entered and analyzed by SPSS version 20.0. Results; Our study comprised of a total of 96 patients meeting inclusion criteria of our study. Mean gestational age of our study cases was 38.56 ± 1.25 weeks. Mean age of our study cases was 31.20 ± 4.91 years (with minimum age of our study cases was 24 years while maximum age was 42 years). Our study results have indicated that majority of our study cases i.e. 62 (64.6 %) were aged more than 30 years. Of these 96 study cases, 52 (54.2 %) belonged to rural areas and 44 (45.8 %) belonged to urban areas. Of these 96 study cases 58 (60.4%) were having poor socioeconomic status and 38 (39.6%) belonged to middle income families. Of these 96 study cases, 51 (53.1%) were illiterate while 45 (46.9%) were literate. Previous history of cesarean section was positive in 55 (57.3%) of our study cases. Mean body mass index of our study cases was 27.64 ± 2.11 kg/m² and obesity was present in 30 (31.3 %) of our study cases. Mean parity of our study cases was 4.18 ± 1.24 and 51 (53.1%) had parity more than 3. Placenta previa type 1 was present in 4 (4.2%), type 2 in 29 (30.2%), type 3 placenta previa in 26 (27.1%) and 37 (38.5%) had type 4 placenta previa. Uterine curettage was noted in 49 (51%) of our study cases.  Conclusion; Very high frequency of uterine curettage was noted among patients presenting with placenta previa in our study. Uterine curettage was significantly associated with obesity, increasing parity and type of placenta previa.

Keywords; Placenta previa, uterine curettage, Frequency.