Maternal Fetal Medicine:: Outcome of Management Placenta Previa in Omdurman Maternity Hospital

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%.