Abstract

Background: Placenta Praevia (PP) is one a significant cause of maternal and perinatal morbidity and mortality. The aim of this study was to to determine the frequency maternal and neonatal outcomes among women with placenta previa. Methods: This cross-sectional study comprised all patients who had a cesarean section for PP at a tertiary referral hospital in Ahvaz, Islamic Republic of Iran, from May 2003 to December 2013. Maternal and neonatal data were obtained from the hospital database System at Obstetrics and Gynecology Department. diagnoses were confirmed during cesarean section. Results: In total, 87 patients with PP were evaluated. 29 patients had complete placenta previas, 33 partial, and 25 low lying placenta previa. 53 cases had previous cesarean sections. 33(37.9%) mothers had to admitted to the intensive care unit and 46(52.9%) mothers need to emergency cesarean. Mean postoperative hospital stay was 5.92 days. In total, 36.8% (n=32) of women underwent an obstetric hysterectomy. frequencies of bladder injuries were 6 (6.9%). postpartum hemorrhage in 37(42.5%) and 34(39.1%) patients were required blood transfusion . The mean packed red blood cell transfusion requirement was 4.4 units. There was no maternal death in this study. During the study period there were 81live births, 6 neonatal deaths, no still birth. Mean gestational age was 34.7 and Mean birth weight of the neonates was 2.5 kgs. There were 25 neonates with an APGAR score of less than 7. three (3.4%) babies were diagnosed as having RDS. 12 cases (13.8%) were diagnosed as small for gestational age and 2(2.2%) cases were IUGR. Conclusion: In our experience partial placenta previa was the most common type of PP. APGAR score