A Study of Various Factors Associated with Placenta Previa in Previous Non-Scar Uterus:

Sara Hijaz; Noor-e-Mubeen; Sara Jamil Khan; Rabia Sadozai; Ayesha Nasir; Sarwat Noreen

doi:10.29054/apmc/2024.1665

Sara Hijaz Senior Registrar, Department of Obstetrics & Gynecology, Jinnah Teaching Hospital, Peshawar/Medical Officer, DHQ Teaching Hospital, Charsadda, Pakistan
Noor-e-Mubeen Women Medical Officer, Department of Obstetrics & Gynecology, Women and Children Hospital, Charsadda, Pakistan
Sara Jamil Khan Assistant Professor, Department of Obstetrics & Gynecology, Frontier Medical & Dental College, Abbottabad, Pakistan
Rabia Sadozai Principle Medical Officer, Department of Obstetrics & Gynecology, Hayatabad Medical Complex/Medical Teaching Institution, Peshawar, Pakistan
Ayesha Nasir Women Medical Officer, Department of Obstetrics & Gynecology, Health Department, Khyber Pakhtunkhwa, Pakistan
Sarwat Noreen Associate Professor, Department of Obstetrics & Gynecology, Pak International Medical College, Peshawar, Pakistan

DOI: https://doi.org/10.29054/apmc/2024.1665

Keywords: Uterine curettage, Placenta previa, Fetomaternal outcomes, Parity

Abstract

Background: Placental tissue is abnormally near the internal cervical os during the second and third trimesters of pregnancy significant risks of morbidity and mortality associated with illness for both the mother and the fetus. Effective counseling, close monitoring, early detection, and timely intervention are required. Objective: To determine the frequency of placenta previa in patients with previous non-scar uteruses. Study Design: Descriptive cross-sectional study. Settings: Department of Obstetrics & Gynecology, Khyber Teaching Hospital, Peshawar Pakistan. Duration: One-year of period (March 2022-March 2023). Methods: A total of 331 women between the ages of 20 and 40 were recruited for this study; these included singleton pregnancies, women with placenta previa in both scarred and non-scarred uteri, and women whose gestational ages were 28 weeks or older. SPSS version 20 was used, with a p-value of less than 0.05 regarded as statistically significant. Results: Of the 331 patients, with a mean age of 32.67 years, 17 (5%) were diagnosed with placenta previa. About 67% were multipara, and 65% were multigravida. No significant association was found between placenta previa and maternal age (p=0.9745), parity (p=0.8314), gravida status (p=0.9823), or history of cesarean sections (p=0.8216). Conclusion: It is concluded that there is a 5% prevalence of placenta previa in patients with a previous non-scarred uterus. Effective management of this condition, which can lead to severe complications, requires a multidisciplinary approach.