Maternal and Perinatal Outcomes of Placenta Praevia at the Rivers State University Teaching Hospital, Port Harcourt
Published: 2022-08-04
Page: 163-169
Issue: 2022 - Volume 5 [Issue 1]
Felix Chikaike Clement Wekere *
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria and Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
Gift Anyanwu F. Clement-Wekere
Department of Paediatrics and Child Health, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
Uduak Solomon Ocheche
Department of Obstetrics and Gynaecology, PAMO University of Medical Sciences, Port Harcourt, Nigeria.
Iyingiala Austin-Asomeji
Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
Sotonye Asikimabo-Ofori
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Idawarifa Frank Cookey-Gam
Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Placenta praevia is associated with high foeto-maternal morbidity and mortality. Aim: To assess the maternal and perinatal outcomes of placenta praevia at the Rivers State University Teaching Hospital (RSUTH).
Methods: A descriptive cross-sectional study of all recorded cases of placenta praevia manage at RSUTH from 1st January 2016 to 31st December 2021. Data were analysed using IBM, Statistical Product and Service Solutions (SPSS) version 25.0 Armonk, NY.
Results: The most common maternal complication was blood transfusion [128(93.4%)], followed by preterm delivery [49(35.8%)], and postpartum haemorrhage [34(24.8%)]. Three (2.2%) of the participants had Caesarean hysterectomy. There was no case of maternal mortality. There was a male sex preponderance among the foetuses. The mean± SD foetal weight was 2.9±0.65, 95%CI: 2.79,3.01. Seventy-three (53%) of the foetuses were males. The majority 51(37.2%) of the foetuses were admitted into the special care baby unit (SCBU) for special care. Other observed perinatal complications were prematurity, low birth weight, birth asphyxia and stillbirth accounting for 35.8%, 22.6%, 14.6% and 12.4% of cases respectively.
Conclusion: The commonest maternal and perinatal complications of placenta praevia at the RSUTH were blood transfusion and admission into SCBU respectively. Prompt diagnosis, efficient blood transfusion services and adequate management will improve foeto-maternal outcomes.
Keywords: Placenta praevia, foeto-maternal outcomes, perinatal, haemorrhage, RSU