Management and outcome of placenta previa among women attending Khartoum maternity hospitals in Sudan

  • Authors

    • Siddig Handady
    • Hajar Hassan Sakin
    • Rania M. Omer
    2015-05-22
    https://doi.org/10.14419/ijm.v3i1.4663
  • Management, Outcome, Placenta Previa.

  • Background: The management of pregnancies complicated by placenta previa is best addressed in terms of the clinical setting: asymptomatic women, women who are actively bleeding and women who are stable after one or more episodes of active bleeding.

    Objective: To assess the management and outcome of placenta previa.

    Methodology: It was cross-sectional and hospital-basedstudy implemented during a time period of six months (July – December 2012) in Khartoum maternity hospital, and a total of50 women presented with VB diagnosed as placenta previa were selected through convenience sampling method.

    Results: Only two patients were deliver vaginally and C/S was done for 48(96.0%). Regarding outcome 16(32.0%) of patients were developed bleeding, 5(10%) of patients were ended by hysterectomy, 2(4%) developed acute renal failure, one maternal death and 26(52.0%) of patients were without obvious complications.

    Conclusions: The majority of women were undergone C/S and about (90.0%) their placenta were completely separated, (4.0%) left inside and (6.0%) left partially.

  • References

    1. [1] Aguirre D, Caiseda D, Correa-Rivas M, Maldonado M, Rodriguez W, Miranda G, Lugo A & Gandia J (2006): A multidisciplinary approach to surgical management of placenta previa percreta with bladder invasion: a case report. P R Health Sci J 25, 163-165.

      [2] Bhide A & Thilaganathan B (2004): Recent advances in the management of placenta previa. Curr Opin Obstet Gynecol 16, 447-451. http://dx.doi.org/10.1097/00001703-200412000-00002.

      [3] Kayem G & Keita H (2014): [Management of placenta previa and accreta.]. J Gynecol Obstet Biol Reprod (Paris) 43, 1142-1160.http://dx.doi.org/10.1016/j.jgyn.2014.10.007.

      [4] Kondoh E, Kawasaki K, Kawamura A, Ueda A, Fujita K & Konishi I (2014): Successful management of intraoperative hemorrhage from placenta previa accreta: intrauterine tamponade balloons brought out through the abdominal wall. J Matern Fetal Neonatal Med 27, 309-311.http://dx.doi.org/10.3109/14767058.2013.809418.

      [5] Lam H, Pun TC & Lam PW (2004): Successful conservative management of placenta previa accreta during cesarean section. Int J Gynaecol Obstet 86, 31-32.http://dx.doi.org/10.1016/j.ijgo.2003.12.009.

      [6] Most OL, Singer T, Buterman I, Monteagudo A & Timor-Tritsch IE (2008): Postpartum management of placenta previa accreta left in situ: role of 3-dimensional angiography. J Ultrasound Med 27, 1375-1380.

      [7] Oppenheimer L (2007): Diagnosis and management of placenta previa. J Obstet Gynaecol Can 29, 261-273.

      [8] Rao KP, Belogolovkin V, Yankowitz J & Spinnato JA, 2nd (2012): Abnormal placentation: evidence-based diagnosis and management of placenta previa, placenta accreta, and vasa previa. Obstet Gynecol Surv 67, 503-519.http://dx.doi.org/10.1097/OGX.0b013e3182685870.

      [9] Ruparelia BA & Chapman MG (1988): Occult infiltrating placenta previa percreta: an unusual case highlighting the management problems in a young patient. Int J Gynaecol Obstet 27, 285-287.http://dx.doi.org/10.1016/0020-7292(88)90021-5.

      [10] Uygur D, Altun Ensari T, Ozgu-Erdinc AS, Dede H, Erkaya S & Danisman AN (2014): Successful use of BT-Cath((R)) balloon tamponade in the management of postpartum haemorrhage due to placenta previa. Eur J Obstet Gynecol Reprod Biol 181, 223-228.http://dx.doi.org/10.1016/j.ejogrb.2014.08.002.

      [11] Walker MG, Allen L, Windrim RC, Kachura J, Pollard L, Pantazi S, Keating S, Carvalho JC & Kingdom JC (2013): Multidisciplinary management of invasive placenta previa. J Obstet Gynaecol Can 35, 417-425.

      [12] Yee YH, Kung FT, Yu PC, Hsu TY & Cheng YF (2008): Successful conservative management of placenta previa totalis and extensive percreta. Taiwan J Obstet Gynecol 47, 431-434.http://dx.doi.org/10.1016/S1028-4559(09)60011-5.

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  • How to Cite

    Handady, S., Sakin, H. H., & Omer, R. M. (2015). Management and outcome of placenta previa among women attending Khartoum maternity hospitals in Sudan. International Journal of Medicine, 3(1), 45-47. https://doi.org/10.14419/ijm.v3i1.4663