A Study on Maternal Outcome of Central Placenta Praevia among Inpatients in Dhaka Medical College and Hospital

Open Access

Abstract

Background: As an important cause of obstetric haemorrhage, central placenta praevia is associated with severe maternal complications, including antepartum and postpartum haemorrhage, placenta accreta spectrum, hysterectomy, and urinary tract injury. Aim of the study: This study aimed to evaluate the maternal outcomes of female with central placenta praevia at a tertiary care hospital. Methods & Materials: This hospital-based descriptive cross-sectional study was conducted from January to June 2021 in the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital, Dhaka. A total of 30 female with central placenta praevia beyond 28 weeks' gestation were enrolled consecutively. Sociodemographic, obstetric, clinical, operative, and postoperative data were collected using a structured form. Data were analyzed using SPSS version 26.0 and summarized using frequencies, percentages, and mean ± standard deviation. Results: Among 30 participants, the mean age was 29.8 ± 4.7 years and mean gestational age was 35.6 ± 2.3 weeks. Previous caesarean delivery was present in 73.3%, while 80.0% presented with antepartum bleeding. Major intraoperative haemorrhage occurred in 60.0%, postpartum haemorrhage in 43.3%, and caesarean hysterectomy was required in 26.7%. Blood transfusion was needed in 90.0%, while 53.3% experienced at least one major adverse maternal outcome. Uterine preservation was achieved in 73.3%, and maternal survival was 96.7%. Conclusion: Central placenta praevia was associated with substantial haemorrhagic and operative maternal morbidity, including frequent blood transfusion and caesarean hysterectomy. Despite these complications, uterine preservation and maternal survival remained high.