The Indian Practitioner

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

To Compare Perinatal Outcome in Registered (Booked) and Unregistered (Unbooked) Cases of Placenta Previa: A Prospective Study


Affiliations
1 Department of Obs. and Gynae. Pt. B. D. Sharma, PGIMS, University of Health Sciences, Rohtak, Haryana, India
2 Diagnostic Radiologist, Department of Radiology, Advanta Superspeciality Hospital, Dev colony, Rohtak, Haryana, India
     

   Subscribe/Renew Journal


Background: Antepartum haemorrhage (APH) due to placenta previa is a grave obstetrical emergency. It is a leading cause of perinatal death.

Objectives: Aim of the present study was to compare the perinatal outcome in registered (booked) and unregistered (unbooked) cases of placenta previa.

Methods: It is a prospective study carried out over a period of one year (2011-12) on 100 women admitted with the diagnosis of APH in India, at Pt. B. D. Sharma, PGIMS, Rohtak, Haryana. 54 patients of placenta previa were divided into the categories of registered and unregistered patients and their birth-weight, Apgar scores, morbidity and mortalities in fetus were recorded and compared.

Statistical Analysis: At the end of the study, the mean of different groups were compared with the independent sample t-test (unpaired t-test), Pairwise comparisons for morbidity and mortality were performed with Fisher’s exact test and Chi-square test was applied for discrete variables. p value of less than 0.05 was considered to indicate statistical significant.

Results and conclusion: Perinatal mortality was 38.4% in unregistered patients in comparison to 21% in registered patients. Statistically significant neonatal morbidity due to prematurity was seen in unregistered patients than in case of registered patients (p<0.05). All mothers with placenta previa should be registered and treated on expectant management; it will lead to the reduction in perinatal mortality and morbidity in developing countries.


Keywords

Antepartum Haemorrhage, Placenta Previa, Perinatal Mortality.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Arora R, Devi U, Majumdar K. Perinatal morbidity and mortality in antepartum haemorrhage. J Obstet Gynae India 2001; 51(3): 102–4.

  • Hibbard BM, Jeffcoate TNA. Abruptio placentae. ObstetGynecol 1966; 27: 155–67.

  • Chamberlan GVP, Philipp E, Howlett B, Masters K. Br Birth ObstetGynecol 1970; 45: 160–3.

  • Green JR. Placenta abnormalities: Placenta previa and abruptio plcentae, Maternal fetal medicine. In: Creasy RK, Resnik R, editors. Principle and Practice. 3rd edtition. Philadelphia, WB Saunders, 1989; 588–602.

  • Crane JMG, Van Denhof MC, Dodds L, Armson A, Listen R. Neonatal outcomes with placenta previa. Obstet Gynecol 1999; 93: 541–4.

  • Frederiksen MC, Glassenberg R, Stika CS. Placenta previa: A 22 year analysis. Am J Obstet Gynecol 1999; 180: 1432–6.

  • Khosla A, Dahiya V, Sangwan K, Rathor S. Perinatal outcome in antepartum haemorrhage. J Obstet Gyn India 1989; 9: 71–3.

  • Brenner WF, Edelman DA, Hendricks CH. Characteristics of patients with placenta previa and results of expectant management. Am J Obstet Gynecol 1975; 155: 180–4.

  • Cotton DB, Read JA, Paul RH, Quilligan EJ. The conservative aggressive management of placenta previa. Am J Obstet Gynecol 1980; 164: 687–95.


Abstract Views: 245

PDF Views: 1




  • To Compare Perinatal Outcome in Registered (Booked) and Unregistered (Unbooked) Cases of Placenta Previa: A Prospective Study

Abstract Views: 245  |  PDF Views: 1

Authors

Shaveta Jain
Department of Obs. and Gynae. Pt. B. D. Sharma, PGIMS, University of Health Sciences, Rohtak, Haryana, India
Nitin Jain
Diagnostic Radiologist, Department of Radiology, Advanta Superspeciality Hospital, Dev colony, Rohtak, Haryana, India
Pushpa Dahiya
Department of Obs. and Gynae. Pt. B. D. Sharma, PGIMS, University of Health Sciences, Rohtak, Haryana, India
Seema Rohilla
Department of Obs. and Gynae. Pt. B. D. Sharma, PGIMS, University of Health Sciences, Rohtak, Haryana, India
Roopa Malik
Department of Obs. and Gynae. Pt. B. D. Sharma, PGIMS, University of Health Sciences, Rohtak, Haryana, India
Vani Malhotra
Department of Obs. and Gynae. Pt. B. D. Sharma, PGIMS, University of Health Sciences, Rohtak, Haryana, India

Abstract


Background: Antepartum haemorrhage (APH) due to placenta previa is a grave obstetrical emergency. It is a leading cause of perinatal death.

Objectives: Aim of the present study was to compare the perinatal outcome in registered (booked) and unregistered (unbooked) cases of placenta previa.

Methods: It is a prospective study carried out over a period of one year (2011-12) on 100 women admitted with the diagnosis of APH in India, at Pt. B. D. Sharma, PGIMS, Rohtak, Haryana. 54 patients of placenta previa were divided into the categories of registered and unregistered patients and their birth-weight, Apgar scores, morbidity and mortalities in fetus were recorded and compared.

Statistical Analysis: At the end of the study, the mean of different groups were compared with the independent sample t-test (unpaired t-test), Pairwise comparisons for morbidity and mortality were performed with Fisher’s exact test and Chi-square test was applied for discrete variables. p value of less than 0.05 was considered to indicate statistical significant.

Results and conclusion: Perinatal mortality was 38.4% in unregistered patients in comparison to 21% in registered patients. Statistically significant neonatal morbidity due to prematurity was seen in unregistered patients than in case of registered patients (p<0.05). All mothers with placenta previa should be registered and treated on expectant management; it will lead to the reduction in perinatal mortality and morbidity in developing countries.


Keywords


Antepartum Haemorrhage, Placenta Previa, Perinatal Mortality.

References