THE RATE OF DIFFERENT TYPES OF PLACENTA PREVIA AND RESULTS OF PLACENTA PREVIA AT CAN THO GYNEOLOGY AND OBSTETRICS HOSPITAL IN 2019-2021
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Abstract
Background: Placenta previa is a major problem that obstetricians face, as women with placenta previa may have to be hospitalized multiple times for vaginal bleeding and long-term follow-up. Placenta previa increases the risk of blood transfusion, damage to nearby organs, high rate of hysterectomy because of high bleeding, leading to high maternal mortality. The perinatal mortality rate of babies is also increased due to increased rates of preterm birth, fetal underdevelopment, and fetal distress. Objectives: To determine the rate of placenta previa and evaluate the results of placenta previa at Can Tho Obstetrics and Gynecology Hospital. Materials and methods: A cross-sectional descriptive study with analysis was performed at Can Tho Obstetrics and Gynecology Hospital from February 2019 to February 2021 with 103 cases of placenta previa. Result: Placenta striker had placenta in central striker accounting for 60.2%, placenta semi-central striker accounted for 16.05%, placenta attached to the edge accounted for 19.42% and placenta attached low 3.88%. In the study, 20/103 cases of placenta previa had a placenta with comb teeth, accounting for 19.42%. In 103 cases of placenta previa, only 2 cases of normal delivery accounted for 1.94% and mainly cesarean section accounted for 98.06%. Maternal complications include: 14/103 cases of hysterectomy, accounting for 13.59%, of which 9/14 (64.29%) cases of hysterectomy, 1 case of bladder injury and there were no deaths. The percentage of infants <2000 grams was 16.5%. Conclusion: Placenta previa accounted for 60.2%, of which placenta accrete for 19.42% of all cases of placenta previa. Placenta previa increases the risk of blood transfusion, hysterectomy, preterm birth, and low birth weight
Keywords
Placenta previa, placenta accreta
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