ABSTRACT

Aim: To examine the complications associated to placenta previa and compare in patients with previous history of c-sections and without previous history of C-section.

Study Design: Retrospective/Observational

Place and Duration: Department of Obstetrics & Gynaecology, Sandeman Provincial Hospital Quetta from 1^st June 2018 to 31^st December 2018

Methods: Forty patients diagnosed with placenta previa with ages between 20 to 45 years were included in this study. Patient’s demographic details, history of previous lower segment C-sections and complications were recorded. Patients with twin pregnancy were excluded.

Results: There were 27 (67.5%) patients who had history of precious C-sections and 13 (32.5%) patients without previous lower segment C-section. 20 (50%) patients ages were 20 to 30 years, 15 (37.5%) patients ages were 31 to 40 years and 5 (12.5%) had ages above 40 years. 23/27 (85.19%) patients had history of lower segment C section required ICU admission. Morbidly adherent placenta rate was high in patients with previous history of lower segment C section than without lower segment C section (p-value <0.05).

Conclusion: The incidence of placenta previa was high in patients with previous history of lower segment cesarean section as compared to patients without history of lower segment Caesarean section. Complications rate was also high in patients with lower segment C section.

Keywords: Placenta previa, Complications, lower segment C section