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ORIGINAL ARTICLE
Year : 2013  |  Volume : 16  |  Issue : 2  |  Page : 56-59

Placenta praevia at Usmanu Danfodiyo University Teaching Hospital, Sokoto: A 5-year review


Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University, Sokoto, Nigeria

Correspondence Address:
C E Shehu
Department of Obstetrics and Gynaecology, Usmanu Danfodiyo University, Sokoto
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1118-8561.115261

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Background : Placenta praevia is one of the most acute life-threatening obstetric emergencies. Its prompt management has been advocated to prevent associated morbidity and mortality. This study determines the incidence, risk factors, presentation, and maternal/fetal morbidity and mortality associated with placenta praevia in Usmanu Danfodiyo University Teaching Hospital, Sokoto. Materials and Methods : In this retrospective study, case notes of patients' that had placenta praevia from January 1, 2003 to December 31, 2007 were retrieved. Relevant data were extracted and analyzed using the Epi-info Version 3.5.1 statistical package. Results : The incidence of placenta praevia was 0.84%. Grand multiparous women (50.0%) were more affected than multiparous women (42.7%). Majority (46.9%) presented with vaginal bleeding after 28 weeks of gestation. The Major type of placenta paevia (77.1%) occurred more than the Minor variety (22.9%). The most common risk factor was previous abortion (18.75%) while anemia (7.3%) was the most common complication. Most (83.3%) were delivered by Caesarean section. There was one (1.0%) maternal mortality and 12 (12.5%) perinatal deaths. Conclusions : Placenta praevia has a low incidence in the study population, is mainly of the Major type with identifiable risk factors and occur mainly in the 21-30 years age group and multiparous women. The major modes of presentations are vaginal bleeding and threatened abortion. Though maternal mortality is low perinatal mortality is high.


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