Abstract

PERIPARTUM HYSTERECTOMY IN PLACENTA PRAEVIA: CASE REPORTS

Priyanka Bansal*, Nirmala Duhan, Yogender Singh Kadian, Sumedha Vashishtha, Akansha Banjare

ABSTRACT

Antepartum haemorrhage is defined as bleeding from or in to the genital tract, occurring from 24weeks of pregnancy and prior to birth of the baby. APH affects 2-5% of all pregnancies and continues to be a major contributor to maternal mortality world over. The risk is higher when it is complicated by placenta praevia, accreta and percreta. Placenta praevia affects 4-5 of every 1000 pregnant women and accounts for around 0.3 to 1.7%of all maternal deaths. It is one of the dreaded complications in obstetrics due to its associated adverse maternal and perinatal outcome. Emergency hysterectomy may be required upto 11% women with placenta praevia. Risk of placenta praevia is higher in post-caesarean pregnancy and with the rising incidence of primary caesarean delivery rate, this obstetrical complication has become a matter of concern.

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