The Association of Placenta Previa withCesarean Delivery Using Ultrasound

Abstract

This is a descriptive cross-sectional study conducted in Turkish hospital, Khartoum city. The duration of study was 5 months from first January 2016 to May 2016. The main aim was to identify the association of placenta previa with number of previous cesarean section done in pregnant women. In antenatal clinic as per protocol 50 pregnant women were scanned in their second and third trimester for fetal wellbeing and placental localization after taking a detailed obstetrical history and clinical examination. All women with or without symptoms of placenta previa showing placental implantation in lower uterine segment on ultrasound scan were documented. After completion of the 5 months of data regarding the detailed obstetrical and surgical history were recorded in a questionnaire and analyzed using Statistical package for social sciences Software. The study found that 31 women were diagnosed as cases of placenta previa. The overall incidence of placenta previa was found to be 62%. Out of these 31 women 15(30%) were have major degree placenta previa .also in the patient who have 1-2 previous Caesarean section( 42.3%) were have placenta previa , in those have 3-4 Caesarean section (85.6%) were have placenta previa and in the patient were have 4-5previous Caesarean section (66.7)were have placenta previa. It was clearly evident from the study that placenta previa is associated with previous cesarean section. Placenta previa was highly significantly associated with increased number of previous cesarean section (P =0. 000 <0.05). The study concludes that ultrasound is best modalities to diagnosis placenta previa.