RT Journal Article
SR Electronic
T1 Placenta previa
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 762
OP 766
DO 10.15537/smj.2016.7.13259
VO 37
IS 7
A1 Hassan S. Abduljabbar
A1 Nedaa M. Bahkali
A1 Samera F. Al-Basri
A1 Estabrq Al Hachim
A1 Ibrahim H. Shoudary
A1 Wesam R. Dause
A1 Mohammed Y. Mira
A1 Mohammed Khojah
YR 2016
UL http://smj.org.sa/content/37/7/762.abstract
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.