Abstract:
Objectives:To assess maternal and fetal morbidity associated with placenta previa and morbidly adherent placenta (MAP). Methods:All patients with placenta previa who delivered in services hospital from April 1, 2017 to March 31, 2019 were included. Maternal and fetal outcomes were compared amongst patients with placenta previa and MAP. Results:Total of 8002 patients delivered with 152 (1.9%) diagnosed as placenta previa and 56 (36.8%) amongst them had MAP. One hundred thirty-one out of One hundred fifty-two (86.1%) of our patients were booked. Increased number of caesarean section, multi parity and anterior placenta had significant association with MAP (p<0.0001). Maternal morbidity in terms of postpartum hemorrhage >2000ml, caesarean hysterectomy, number of blood transfusions, bladder injury, need for ICU admission was significantly more in patients with MAP (p<0.0001). Case fatality was 3% with two maternal deaths in MAP and none in placenta previa. Fetal outcome was good in both groups as gestational age at delivery was 36 weeks or more, birth weight was ≥ 2.5 kg and >6 APGAR score (p<0.05). Two neonatal deaths occurred in MAP and one in placenta previa owing to prematurity. Conclusion:MAP is a dreadful complication of placenta previa with increased maternal morbidity. Regular antenatal care with adequate arrangement of blood transfusion and multidisciplinary approach can reduce maternal mortality.
journal_name
Pak J Med Scijournal_title
Pakistan journal of medical sciencesauthors
Wasim T,Bushra N,Riaz S,Iqbal HIdoi
10.12669/pjms.36.5.1647subject
Has Abstractpub_date
2020-07-01 00:00:00pages
952-957issue
5eissn
1682-024Xissn
1681-715Xpii
PJMS-36-952journal_volume
36pub_type
杂志文章abstract:Objective:To compare the effects of simple saline dressings versus topical vancomycin dressings on Methicillin-resistant Staphylococcus Aureus positive chronic diabetic foot ulcers. Methods:It was quasi experimental study conducted in Combined Military Hospital Kohat and PNS-Shifa Hospital Karachi from 01 January 2017...
journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2013-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2017-11-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.36.5.1993
更新日期:2020-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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更新日期:2018-07-01 00:00:00
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更新日期:2019-11-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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更新日期:2019-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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更新日期:2017-05-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2013-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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doi:
更新日期:2014-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
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更新日期:2018-05-01 00:00:00
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pub_type: 杂志文章
doi:10.12669/pjms.341.13418
更新日期:2018-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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doi:10.12669/pjms.35.1.225
更新日期:2019-01-01 00:00:00
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journal_title:Pakistan journal of medical sciences
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更新日期:2018-09-01 00:00:00
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更新日期:2014-01-01 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2013-09-01 00:00:00
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更新日期:2020-05-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.346.16187
更新日期:2018-11-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章,评审
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更新日期:2020-01-01 00:00:00
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doi:
更新日期:2014-03-01 00:00:00
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更新日期:2016-07-01 00:00:00
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journal_title:Pakistan journal of medical sciences
pub_type: 杂志文章
doi:10.12669/pjms.313.7020
更新日期:2015-01-01 00:00:00