Maternal and Perinatal Outcome in Rural Indian Women with Placenta Previa

Objective: The present study was to find out maternal and perinatal outcome of pregnancy with placenta previa among rural Indian women. Method: This was an observational case control study conducted over one year. 115 women with placenta previa were taken as cases and 230 women without placenta previa were taken as control. Results: Women with placenta previa are more likely to have abnormal presentation (OR 4.86; 95% CI: 2.12-11.12), preterm delivery (OR 11.54; 95% CI: 5.89-22.59), cesarean delivery (OR 13.68; 95% CI: 7.67-24.41), post partum haemorrhage (OR 8.36; 95% CI: 4.04-17.27), obstetrical hysterectomy (OR 19.44; 95% CI: 2.43-155.45) and post partum blood transfusion (OR 10.65; 95% CI: 3.91-29.96). Newborns of mothers with placenta previa are more likely to have lower birth weight (p<0.001), low APGAR score (<7) at one minute (OR 2.78; 95% CI: 1.43-5.44), low APGAR score (<7) at five minute (OR 3.03; 95% CI: 1.12-8.19) and increased NICU admission (OR 4.56; 95% CI: 1.97-15.50). Conclusion: Poor maternal and perinatal outcome are associated with placenta previa.

Author(s): Santu Maiti, Priyankar Kanrar, Chaitali Karmakar and Suman Bagdi

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