Maternal-Fetal Medicine

Placenta previa (PP) a major cause of obstetric haemorrhages is potentially life-threatening to mothers resulting in high maternal morbidity and mortality. A hospital-based study of all PP cases diagnosed and managed between August-November 2021 at Omdurman Maternity Hospital Sudan. A total of 8602 pregnant women delivered during the study period 50 of them were diagnosed as PP cases. Three types of PP cases were diagnosed minor degree(12%) major degree(66%) and morbid adherent(22%). All patients were operated by CS delivery. Elective and emergency CS deliveries were performed in 76% and 24% PP cases respectively. PP management included conservative uterine packing bilateral uterine artery ligation internal iliac artery ligation placental bed suturing and hysterectomy. Management outcome was divided into; patients with no complication(68%)with complications(26%) and death (6%). Maternal morbidities noted in this study included; DIC(12%) renal failure(4%) bladder injury(8%) blood transfusion (≥5 units) (20%) ICU admission(6%) hysterectomy(30%) and maternal death(6%). The overall performance of the management adopted was directed towards favourable outcome by 68%.