TITLE:
Placenta Previa at Souro Sanou Teaching Hospital, Burkina Faso (About 142 Cases)
AUTHORS:
Yaméogo Rélwendé Barnabé, Millogo Jean de la Croix, Bassinga Kévin Wendpouyri Jonathan, Kaboré Ahmed, Somé Der Adolphe
KEYWORDS:
Placenta Previa, Prognosis, Bobo-Dioulasso
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.11,
November
7,
2022
ABSTRACT: Introduction: Placenta previa is an
obstetric emergency that can be life-threatening for both mother and foetus. Despite the progress made in
diagnosis and treatment, it continues to be feared by obstetricians because of
high maternal and perinatal mortality and
increased morbidity. This study aims to investigate the diagnostic,
therapeutic and prognostic aspects of placenta previa at the Sourô Sanou
University Hospital in Bobo-Dioulasso. Method: This was a descriptive cross-sectional study with retrospective data collection
from January 1, 2016
to December 31, 2018. Included were 142 pregnant women admitted to the
maternity ward of the Sourô Sanou University Hospital (CHUSS) and diagnosed with placenta previa during
pregnancy, labor, or in the postpartum period. Result: The frequency of
placenta previa was 0.89%; the average age of patients was 28.51 years with
extremes of 16 and 44 years. The multigestations represented 28.17% and the
pauciparous 31.69%. Patients with a uterine scar represented 15.49%. Ultrasound
diagnosis was made in 38 patients (26.76%). Placenta previa was recovered in
56.34% of cases. Patients with severe anaemia were 28.87%, and 57.04% of
the anaemic cases received blood transfusion. Caesarean section was performed
in 93.66% of patients. Four maternal deaths
(2.81%) and 30 stillbirths (27.02%) were reported. Conclusion: Placenta previa remains a fairly frequent pathology with a non-negligible
lethality rate and perinatal mortality in the maternity ward of the Sourô Sanou
University Hospital.