To Compare Perinatal Outcome In Registered (Booked) And Unregistered (Unbooked) Cases Of Placenta Previa: A Prospective Study!

Abstract

Background: Antepartum haemorrhage (APH) due to placenta previa is a grave obstetrical emergency. It is a leading cause of perinatal death. Objectives: Aim of the present study was to compare the perinatal outcome in registered (booked) and unregistered (unbooked) cases of placenta previa. Methods: It is a prospective study carried out over a period of one year (2011-12) on 100 women admitted with the diagnosis of APH in India, at Pt. B. D. Sharma, PGIMS, Rohtak, Haryana. 54 patients of placenta previa were divided into the categories of registered and unregistered patients and their birth-weight, Apgar scores, morbidity and mortalities in fetus were recorded and compared. Statistical analysis: At the end of the study, the mean of different groups were compared with the independent sample t-test (unpaired t-test), Pairwise comparisons for morbidity and mortality were performed with Fisher’s exact test and Chi-square test was applied for discrete variables. p value of less than 0.05 was considered to indicate statistical significant. Results and conclusion: Perinatal mortality was 38.4% in unregistered patients in comparison to 21% in registered patients. Statistically significant neonatal morbidity due to prematurity was seen in unregistered patients than in case of registered patients (p<0.05). All mothers with placenta previa should be registered and treated on expectant management; it will lead to the reduction in perinatal mortality and morbidity in developing countries.