The Association of Placenta Previa with Cesarean Delivery using Ultrasound

ABSTRACT 

This is a descriptive cross-sectional study conducted in Turkish hospital, Khartoum city. The duration of study was 5 months from first January 2016 to May 2016. The main aim was to identify the association of placenta previa with number of previous cesarean section done in pregnant women. In antenatal clinic as per protocol 50 pregnant women were scanned in their second and third trimester for fetal wellbeing and placental localization after taking a detailed obstetrical history and clinical examination. All women with or without symptoms of placenta previa showing placental implantation in lower uterine segment on ultrasound scan were documented. After completion of the 5 months of data regarding the detailed obstetrical and surgical history were recorded in a questionnaire and analyzed using Statistical package for social sciences Software. The study found that 31 women were diagnosed as cases of placenta previa. The overall incidence of placenta previa was found to be 62%. Out of these 31 women 15(30%) were have major degree placenta previa .also in the patient who have 1-2 previous Caesarean section( 42.3%) were have placenta previa , in those have 3-4 Caesarean section (85.6%) were have placenta previa and in the patient were have 4-5previous Caesarean section (66.7)were have placenta previa. It was clearly evident from the study that placenta previa is associated with previous cesarean section. Placenta previa was highly significantly associated with increased number of previous cesarean section (P =0. 000

CONTENTS

Subject Page No.

Dedication I

Acknowledgements II

Contents III

Abbreviations IV

Abstract V

Abstract Arabic VI

List of tables 42-47

List of figures 41-46

CHAPTER ONE

1.1Introduction 1

1.2The Problem of the study 3

1.3Research Objectives 3

1.4Theses Overview 4

CHAPTER TWO

2-1 Literature Review

2.1 Anatomy 5

2.2Physiology 11

2.3Pathology 13

2.4 Previous studies 37

CHAPTER THREE

3-1 Materials & Tools

3-2 Methods 40

3-3 Inclusion Criteria 41

3-4 Exclusion Criteria 41

3-5 Ultrasound Technique Of placenta previa 41

3-6 Statistics 42

CHAPTER FOUR

Results 43-47

CHATER FIVE

5-1 Discussion 48

5-2 Conclusion 51

5-3 Recommendations 52

5-4 References 53

Appendices 56