PT  - JOURNAL ARTICLE
AU  - Hassan S. Abduljabbar
AU  - Nedaa M. Bahkali
AU  - Samera F. Al-Basri
AU  - Estabrq Al Hachim
AU  - Ibrahim H. Shoudary
AU  - Wesam R. Dause
AU  - Mohammed Y. Mira
AU  - Mohammed Khojah
TI  - Placenta previa
AID  - 10.15537/smj.2016.7.13259
DP  - 2016 Jul 01
TA  - Saudi Medical Journal
PG  - 762--766
VI  - 37
IP  - 7
4099  - http://smj.org.sa/content/37/7/762.short
4100  - http://smj.org.sa/content/37/7/762.full
SO  - Saudi Med J2016 Jul 01; 37
AB  - Objectives: To review cases of placenta previa in the last 13 years in a tertiary teaching hospital to identify risk factors for maternal morbidity.Methods: A retrospective analysis of all cases of placenta previa managed at King Abdulaziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia from January 2001 to December 2013.Results: The total number of deliveries was 55,862 deliveries, and 11,412 (20.3%) delivered by cesarean section (C/S). The charts of 230 cases diagnosed with placenta previa was reviewed, and different variables were collected and analyzed. Diagnoses were achieved in 94% of them using ultrasound. The prevalence rate of placenta previa was 4.1 per 1000 births. Cesarean section was carried out as an emergency procedure in 130 (56.5%) women and as elective in 100 (43.5%) women. Of them, 26 patients were admitted to the intensive care unit (ICU) (11.3%), all of which received blood transfusion >6 units and 22 patients had a hysterectomy for uncontrollable bleeding.Conclusion: Placenta previa is one of the leading causes of maternal morbidity and mortality. Every hospital must have a protocol, or algorithm for the management of placenta previa. Risk factors for maternal morbidity included complete previa, history of previous C/S, emergency C/S at a gestational age of <36 weeks, and estimated blood loss >2000 ml.