Evaluation of El-Demerdash Maternity Hospital Experience in Management of Pregnant Women Diagnosed with Placenta Previa

Abstract

Abstract Background Placenta previa is a potentially dangerous condition that can affect pregnant women, leading to significant maternal morbidity and adverse perinatal outcomes. Aim of the Work Evaluation of placenta previa management, study of maternal and perinatal outcomes in cases of placenta previa, and study of risk factors for placenta previa. Patients and Methods The study included 80 women with placenta previa who were diagnosed and managed at El-Demerdash Maternity Hospital. Results The sociodemographic characteristics of the included patients showed a preponderance of the ages above 30 years, multiparity, history of previous cesarean section, and history of uterine scarring. Maternal outcomes showed a reasonable decrease in the hemoglobin level postoperatively compared with preoperatively. However, there was a high incidence of blood transfusion. There was an overabundance of general anesthesia performance during surgical intervention. The majority of the placenta previa patients had cesarean delivery; however, there was a low incidence of maternal surgical injuries and mortality. Regarding neonatal outcomes, most of the neonates belonged to the preterm group. The neonatal intensive care unit (NICU) admission was reported in nearly half of the included patients, attributed to preterm, respiratory distress (RD), and intrauterine growth restriction (IUGR). There was a low incidence of perinatal mortality. Conclusion In El-Demerdash Maternity Hospital, risk factors for placenta previa were age above 30 years, multiparity, history of previous cesarean section, and history of uterine scarring. Most placenta previa patients received conservative surgical management rather than cesarean hysterectomy. Despite the higher rate of conservative surgical management compared to cesarean hysterectomy, maternal surgical morbidity and mortality were low. However, there was a higher frequency of blood transfusion to manage postpartum hemorrhage. Most of the neonates were preterm, and neonatal intensive care unit admission was reported in nearly half of the included patients. There was a low incidence of perinatal mortality.