A Case Series on Complete Placenta Previa in Third Trimester- Risk Factors, Clinical Features and Management

Authors

  •   K. Sharmila Department of Obstetrics and Gynaecology, Government Stanley Medical College, Chennai - 600001, Tamil Nadu
  •   Vinitha Padmini Mary Department of Obstetrics and Gynaecology, Government Stanley Medical College, Chennai - 600001, Tamil Nadu
  •   Shanthi K. Elango Department of Obstetrics and Gynaecology, Government Stanley Medical College, Chennai - 600001, Tamil Nadu

DOI:

https://doi.org/10.65129/surgical.v1i1.17

Keywords:

Complete Placenta Previa, Diagnosis of Placenta Previa, Placenta Previa Management

Abstract

Placenta previa is defined as a placenta that lies wholly or partially within the lower uterine segment. It occurs when the blastocyst is implanted low in the uterine cavity. It is associated with previous placenta previa, advancing maternal age, increasing maternal parity, large placental size, uterine scars like previous caesarean section or myomectomy, smoking and placental pathology such as marginal cord insertions and succenturiate lobes. This is a retrospective observational study. 15 cases of complete placenta previa were studied for a period of 6 months from January 2024 to June 2024, taken from the RSRM hospital medical records department, and a case report was prepared. With the rising incidence of caesarean sections combined with increasing maternal age, the number of cases of placenta previa and its complications, including placenta accreta, is likely to continue to increase. Hence, it becomes essential to diagnose placenta previa early and plan appropriate management.

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Published

2025-03-30

How to Cite

Sharmila, K., Mary, V. P., & Elango, S. K. (2025). A Case Series on Complete Placenta Previa in Third Trimester- Risk Factors, Clinical Features and Management. Journal of Surgery and Surgical Specialities, 1(1), 26–30. https://doi.org/10.65129/surgical.v1i1.17

Issue

Section

Case Series

References

1. Jauniaux ERM, Alfirevic Z, Bhide AG, Belfort MA, Burton GJ, Collins SL, et al. Placenta praevia and placenta accreta: Diagnosis and management: Green-top guideline No.27a. BJOG. 2019; 126:1. https://doi.org/10.1111/14710528.15306 PMid:30260097.

2. Balaya J, Bondarenko HD. Placenta accreta and the risk of adverse maternal and neonatal outcomes. J Perinat Med. 2013; 41(2):141-149. https://doi.org/10.1515/jpm-20120219 PMid:23241664.

3. Farquhar CM, Li Z, Lensen S, McLintock C, Pollock W, Peek MJ, et al. Incidence, risk factors and perinatal outcomes for placenta accreta in Australia and New Zealand: A casecontrol study. BMJ Open. 2017; 7:10. https://doi.org/10.1136/bmjopen-2017-017713 PMid:28982832 PMCid:PMC5640005.

4. Zhou M, Chen M, Zhang L, He GL, He L, Wei Q, et al. Severe adverse pregnancy outcomes in placenta previa and prior cesarean delivery. Sichuan Da XueXueBao Yi Xue Ban. 2017; 48(5):783-787.

5. Cheng KKN, Lee MMH. Rising incidence of morbidly adherent placenta and its association with previous caesarean section: A 15-year analysis in a tertiary hospital in Hong Kong. Hong Kong Med J. 2015; 21(6):511-517.

6. Faiz AS, Ananth CV. Etiology and risk factors for placenta previa: an overview and meta-analysis of observational studies. J Matern Fetal Neonatal Med. 2003; 13(3):175-90. https://doi.org/10.1080/713605832

7. Zlatnik MG, Cheng YW, Norton ME, Thiet M-P, Caughey AB. Placenta previa and the risk of preterm delivery. J Matern Fetal Neonatal Med. 2007; 20(10):719-723. https://doi.org/10.1080/14767050701530163 PMid:17763272.

8. Kollmann M, Gaulhofer J, Lang U, Klaritsch P. Placenta praevia: Incidence, risk factors and outcome. J Matern Fetal Neonatal Med. 2016; 29(9):1395-1398. https://doi.org/10.3109/14767058.2015.1049152 PMid:26043298.

9. Ancona S, Chatterjee M, Rhee I, Sicurenza B. The midtrimester placenta previa: a prospective follow-up. Eur J Radiol. 1990; 10(3):215-6. https://doi.org/10.1016/0720048X(90)90142-X PMid:2192886.

10. Sheiner E, Shoham Vardi I, Hallak M, Hershkowitz R, Katz M, Mazor M. Placenta previa: Obstetric risk factors and pregnancy outcome. J Matern Fetal Neonatal Med. 2001; 10(6):414-419. https://doi.org/10.1080/jmf.10.6.414.419

11. Alouini S, Megier P, Fauconnier A, Huchon C, Fievet A, Ramos A, Megier C, Valéry A. Diagnosis and management of placenta previa and low placental implantation. J Matern Fetal Neonatal Med. 2020; 33(19):3221-3226. https://doi.org/10.1080/14767058.2019.1570118 PMid:30688129.