Clinical Audits of Placenta Previa and their Outcomes at Qena University Hospitals

Abstract

Background: Pregnancy complications that arise in the second and third trimesters include placenta previa (PP). Objectives: The aim of this study was auditing the current management of placenta previa at Qena university hospital to improve Obstetric care through the use of limited resource and utilization of available services. Identify the gap between the current practice on management of cases with placenta previa at Qena university hospital and the ideal practice according to the international guidelines. Patients and methods: This study was retrospective Observational study, all patients admitted to Obstetric and gynecological department at Qena university hospital who are diagnosed of having placenta previa (according to to RCOG) during the period from June 2020 to June 2022. Results: 172 out of 200 patients had placenta previa, whereas 28 patients had low lying placenta. Regarding depth of invasion 28 (14%) cases had placenta accreta, 4 (2%) cases had placenta percreta and 2 (0.7%) cases had placenta increta, Regarding additional surgical steps, no additional steps were needed in 12 (6%) cases, 176 (88%) cases needed bilateral uterine artery ligation and 12 (6%) cases needed bilateral internal iliac artery ligation Conclusion: The authors of the current study draw the conclusion that placenta previa offers a significant risk to mothers on its own. These patients should be delivered in a tertiary facility with the assistance of a multidisciplinary team. A higher number of prior LSCS is associated with a higher likelihood of placentae accrete.