OBSERVATIONAL STUDY ON PLACENTA ACCRETA SPECTRUM DISORDERS IN A TERTIARY CENTRE FOR TWO YEARS

Introduction: Incidence of placenta previa is 3-5per 1000 pregnancies. Placenta previa includes: i) Low lying placenta: when the lower edge of placenta is within 2cms distance from internal os. (ii) Placenta previa : when placenta lies directly over the internal os. The rising incidence of cesarean section combined with increasing maternal age, the number of cases of placenta previa and its complications, including placenta accreta spectrum (PAS), will continue to increase. Aims And Objectives:To analyse : Incidence Evaluate risk factors Maternal and Neonatal outcome Methodology: A retrospective study was conducted over a period of 2 years (august 2020 - august 2022) in the Department of Obstetrics and Gynaecology, King George Hospital, Visakhapatnam. A total of 144 pregnant women with placenta previa were enrolled in this study according to the inclusion and exclusion criteria. Systematic analysis was done with respect to their age, parity, gestational age, past obstetric history, period of gestation at delivery, mode of delivery, birthweight Criteria Inclusion: Singleton pregnant women with placenta previa confirmed by ultrasonography gestational age beyond 28 weeks were selected irrespective of their parity alive or dead fetus. Exclusion: Women with multiple gestation pregnancies are excluded to avoid overrepresentation of studying high risk women. Discussion: Incidence of Placenta previa in King George Hospital, Visakhapatnam, Andhra Pradesh over a period of 2 years is 1.0% as total no. of deliveries in that year was 13552 of which placenta previa were 144. Incidence was found to be maximum i.e.,37.5% among age of 20-24 age group, 11.1% in the age group of >30 years. Placenta previa incidence was highest among multigravida accounting for 76.3% of which 43.6% were previous c-sections and 33.3% were previous abortions Conclusion: Community level education regarding Safe Abortion Practices and Anemia correction should be done. Complete management and mock drills for PostPartum Hemmarhage management in cases of Placenta previa is important inorder to reduce the maternal and fetal complications Safe abortion procedures and also C section Audit should be done.