MINOR DEGREE PLACENTA PRAEVIA;

MODE OF DELIVERY

Abstract

Objective: To find out the mode of delivery when the distance of placenta edge to internal os is more than 2 cm and less than 5
cm i.e minor degree placenta praevia. Study Design: Descriptive Study. Place and Duration of Study: The study was done at Combined
Military Hospital Rawalpindi and Military Hospital Rawalpindi from January 2005 to January 2006. Patient and Methods: A total of 100 patients
admitted in obstretic ward were selected according to the inclusion and exclusion criteria by convenience sampling. Patients with ante partum
haemorrhage after 34 weeks admitted, resuscitated and then investigated by blood tests and transvaginal ultrasound. Only patients with
placental edge to internal os distance of more than 2 cm were selected for study. Booked patients of placenta praevia type 1 and type 2 of more
than 37 weeks after bishop scoring and cervical ripening were delivered vaginally by ARM and Oxytocin. Results: In our study, out of selected
patients 100 patients of placenta praevia type 1 and type 2 were selected, results of these patients were (a) 63% patients were delivered
vaginally. (b) 37% of patients were delivered by caesarean section. (c) 46% of patients with para 4 had placenta praevia as compared to
primigravida who had placenta praevia 15%. (d) 59 % of deliveries occurred at 34-36 years of gestation while 41% of deliveries were occurred at
gestation of >36 years. Conclusions: Patients with placental edge more then 2 cm should be given a trial of vaginal delivery instead of going
straight away to caesarean section.