Placenta Praevia in a Tertiary Hospital in Southern Nigeria: A Six-Year Review of Prevalence, Trend, and Risk Factors

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Published: May 13, 2022
DOI: https://doi.org/10.47191/ijmscrs/v2-i5-09
Keywords:
Placenta praevia, Haemorrhage, Abnormal placentation, RSUTH.

Main Article Content

Felix Chikaike Clement Wekere
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria. & Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
Kenneth Eghuan Okagua
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Gift Anyanwu 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.
Pius Ositadinma Mberekpe
Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
Basil Omieibi Altriade
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Rose Sitonma Iwo-Amah
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.

Abstract

Background: Placenta praevia is a major cause of antepartum haemorrhage. It is associated with high foeto-maternal morbidity and mortality. The study was aimed at reviewing cases of placenta praevia managed at the Rivers State University Teaching Hospital (RSUTH) over 6 years, to determine the prevalence, trend, and sociodemographic/obstetrics factors. 


Methods: A descriptive cross-sectional study of all recorded cases of placenta praevia managed at RSUTH from 1st January 2016 to 31st December 2021. Descriptive and inferential statistics were derived using IBM, Statistical Product and Service Solution (SPSS) version 25.0 Armonk, NY.


Results: There were 14,195 deliveries and 137 cases of placenta praevia; giving the prevalence of 0.97% or 9.7 per 1000 or 1 in 103 deliveries The rate of placenta praevia per 1000 deliveries increased from 0.98 in 2016 to 3.03 in 2018 and then decreased to 1.54 in 2021. The mean (SD) age and gestational age of the participants were 32.5±4.9 (95% CI: 31.67, 33.34) years and 36.7 ±2.6 (95% CI: 36.34,37.10) weeks. The modal parity was para 1. The median blood loss was 600mls range 300-3,200 mls. The majority of the patients were booked 116 (84.7%), multiparas 65(47.4%) and had tertiary level education 56(40.9%). The most common risk factor identified was the history of a previous caesarean section 66(37.5%).


Conclusion: The prevalence of placenta previa in RSUTH is 0.97%; with a declining pattern of occurrence. Placenta praevia occurs more among multiparous women with a history of previous caesarean sections. Knowledge of this will be helpful to clinicians in making diagnosis and management of cases.

Article Details

How to Cite
Wekere, F. C. C. ., Kenneth Eghuan Okagua, Gift Anyanwu Clement-Wekere, Uduak Solomon Ocheche, Pius Ositadinma Mberekpe, Basil Omieibi Altriade, & Rose Sitonma Iwo-Amah. (2022). Placenta Praevia in a Tertiary Hospital in Southern Nigeria: A Six-Year Review of Prevalence, Trend, and Risk Factors . International Journal of Medical Science and Clinical Research Studies, 2(5), 350–354. https://doi.org/10.47191/ijmscrs/v2-i5-09
Issue
Vol. 2 No. 5 (2022): Volume 02 Issue 05 May 2022
Section
Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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