Background: Placenta previa is a potential risk factor for obstetric haemorrhage causing fetomaternal morbidity and mortality. The objective of the present study was to determine the prevalence, risk factors and perinatal outcome of placenta previa (PP). Material and methods: It was a prospective study conducted over a period of 3 years including 262 antenatal women with PP at > 28 weeks of gestation. Results: In the present study 0.8% of the pregnant women were complicated with placenta previa, most of them were between 20-30 years (51.1%) and multigravida (90.0%). Majority presented with bleeding between 30-34 weeks (46.9%). Most of them (80.2%) had one or the other risk factors. Low lying placenta constituted major proportion (54.6%) in USG. Only 14.5% of had normal delivery, rest 85.5% underwent caesarean section. Among neonatal outcome, Apgar score < 7 at 5 minute was present in 12.2% neonates, mostly (43.9%) weighed between 2.4-2.8 kg, 27.3% of babies required NICU admission, preterm birth rate was 62.2%, perinatal mortality rate was 11.5%. Majority (38.9%) delivered between 34-36 weeks gestation. Conclusions: Managing a case of PP poses a great challenge to every obstetrician due to associated fetomaternal complications. Careful evaluation and timely intervention will improves outcome.
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2022: 6.012
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