Study of placentation in previous caesarean section
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 10, Issue 2
Abstract
Background: Placenta previa is a leading cause of APH and it affects approximately 0.5% of all labours. With the recent rise in the caesarean delivery rate, it is of great value to study the placental location among prior caesarean delivery patients. This study was carried out to compare the frequency of placenta previa, in women with previous caesareans versus those with normal vaginal deliveries. Methodology: 500 subjects with a history of previous caesarean section were selected for study purpose. 500 patients with no history of previous caesarean section were selected for control purpose. Clinical examination and USG was done at term and subjects were followed till delivery. Frequency of placenta previa in both the groups was analysed. Study was conducted in SMGS hospital, GMC Jammu. Results: In the study group, the frequency of anterior wall placenta was found to be 50.20% as compared to 40% in the control group. And the difference was found to be highly significant. Similarly, we had 52.40% of patients with posterior wall placenta in the control group as compared to 40.40% in the study group and the association was found to be highly significant. 28 cases of placenta previa were found in the study group and the incidence was found to be 5.60% as compared to incidence of only 1% (5 cases) in the control group. Adherent placenta was also associated with previous LSCS (9 cases) whereas in the control group, no adherent placenta was found.Conclusion: The presence of CS scar in the uterus was associated with increase in the anterior wall placenta and a reduced number that implant in the posterior wall of the uterus. Also, the percentage of placenta previa and morbidly adherent placenta rises with increasing number of caesarean sections.
Authors and Affiliations
Salgotra Manjula, Robina Mirza, Kaul Indu, Rana Parikh, Bharti Nancy
Keywords
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- EP ID EP615035
- DOI 10.26611/10121027
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