ANALYTICAL STUDY OF INCIDENCE AND RISK FACTORS OF PLACENTA PREVIA IN A TERTIARY CARE MEDICAL COLLEGE INSTITUTE

Objectives: To study risk factors and incidence of placenta previa at tertiary care centre in Bhopal. Design: A hospital based prospective observational study Material and methods: All antenatal patients admitted with placenta previa during the study period at tertiary care centre. In a prospective study, total number of deliveries were 10,160 out of which 126 cases of placenta previa were identified. Results: A total of 126 patients with placenta previa were reported and the incidence of patients with placenta previa in study period was 1.24%. Most of the women with placenta previa required caesarean section delivery (71.42%). Incidence of vaginal delivery (10.31%) was maximum in Type I placenta previa. 6 cases had obstetric hysterectomy 5 for accreta and 1 to control placental bed bleeding.15 patients admitted before term for bleeding per vaginum and were managed conservatively and discharged undelivered. Most common cause of maternal morbidity was anaemia 96.03% out of which 88.88% patient had blood transfusions. The incidence of maternal death in our study was 1.5%. Out of 107 babies majority of babies in this study were low birth weight (