FREQUENCY OF PLACENTA PREVIA IN WOMEN WITH HISTORY OF PREVIOUS CAESAREAN AND NORMAL VAGINAL DELIVERIES

Authors

  • Adeela Bashir
  • Humaira Naz Jadoon
  • Aziz -un-Nisa Abbasi

Abstract

Background: Placenta previa is known to be associated with previous caesarean deliveries, advancedmaternal age, increasing parity, smoking, curettage and myomectomy. This study was carried out tocompare the frequency of placenta previa, in women with previous caesareans versus those with normalvaginal deliveries. Methods: It was one year study conducted at the Department of Obstetrics andGynaecology Unit B, Ayub Teaching Hospital, Abbottabad. One hundred women were included in thestudy, 50 in Group A with previous caesarean deliveries, and 50 in Group B with previous normalvaginal deliveries. Frequency of placenta previa in both groups was analysed. Results: Placenta previawas found in one (2%) woman in Group A, and in two women (4%) in Group B. It was not found inpara 4 or less in both groups. One woman in Group A and two women in Group B with parity 4 ormore had placenta previa (p<0.05). None of the women with previous one scar had placenta previa,while with previous 2 scars one had placenta previa (p<0.05). One woman with placenta previa inGroup A and both women with placenta previa in Group B were more than 25 years old. Placentaprevia was not found in women below 25 years of age. Conclusion: Previous one caesarean section didnot increase the frequency of placenta previa. Increasing number of scars, increasing maternal agebeyond 25 years and increasing parity beyond 4 were associated with placenta previa.Keywords: Placenta, placenta previa, caesarean section, scar, vaginal delivery, parity

References

Nelson JP. Antepartum haemorrhage. In: Edmonds DK, Eds.

Dewursts’s Textbook of Obstetrics and Gynaecology for

Postgraduates. 6th ed. Cornwall: Blackwell Sciences; 1999. p.

–43.

Ananth CV, Smulian JC, Vintzileous AM. The association of

placenta previa with the history of cesarean delivery and abortion:

a meta-analysis. Am J Obstet Gynecol 1997;177:1071–8.

Cieminski A, Dlugolecki F. Relationship between placenta previa

and maternal age, parity and prior caesarean deliveries. Ginekol

Pol 2005;76(4):284–9.

Zamani N. Diagnosis, management and outcome of placenta

previa. Mother Child 1998;36:60–6.

Nasreen F. Incidence, causes and outcome of placenta previa. J

Postgrad Med Inst 2003;17:99–104.

Naeye ER. Placenta Previa: Predisposing factors and effects on

fetus and the surviving infants. Obstet Gynecol 1978;52:521–5.

Faiz AS, Ananth CV. Etiology and risk factors for placenta

previa: an overview and meta-analysis of observational studies. J

Matern Fetal Neonatal Med 2003;13:175–90.

Zaman BS, Zubair A, Bhatti SZ, Malik MZS. Effect of placenta

previa on fetal and maternal morbidity/mortality. Ann King

Edward Med Coll 2005;11:205–7.

Hibbard BM. Bleeding in late pregnancy. In: Hibbard BM, (Ed).

Principles of Obstetrics. London: Butterworth’s; 1988.

Rose GL, Chapman MG. Aetiological factors in placenta previa–

a case controlled study. Br J Obstet Gynaecol 1986;93:586–8.

Singh PM, Rodrigues C, Guota AN. Placenta previa and previous

cesarean section. Acta Obstet Gynaecol Scand 1981;292:371–2.

Gilliam M, Rosenberg AF. The likelihood of placenta previa with

greater number of cesarean deliveries and higher parity. Obstet

Gynecol 2002;99:976–80.

Hendricks MS, Chow YH, Bhagavath B, Singh K. Previous

cesarean sections and abortions as risk factors for developing

placenta previa. J Obstet Gynecol Res 1999; 25:137–42.

Hossain GA, Islam SM, Mahmood S, Chakraborty RK, Akhter

N, Sultana S. Placenta previa and its relation with maternal age,

gravidity and cesarean section. Mymensingh Med J

;13:143–8.

CraneJM, Van den Hof MC, Dodds L, Armson BA, Liston R.

Maternal complications with placenta previa. Am J Perinatal

;17:101–5.

Sheiner E, Shoham-Vardi I, Hallak M, Hershkowitz R, Katz

Mazor M. Placenta Previa: Obstetric risk factors and pregnancy

outcome. J Matern Fetal Med 2001;10:414–9.

Getahun D, Oyelese Y, Salihu HM, Ananth CV. Previous

cesarean delivery and risks of placenta previa and placental

abruption. Obstet Gynecol 2006;107:811–8.

Downloads

Published

2012-12-01

Issue

Vol. 24 No. 3-4 (2012): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.

Most read articles by the same author(s)