STUDY OF ABNORMAL TYPES OF PLACENTATION IN PREVIOUS LOWER SEGMENT CESAREAN SECTION

The present study aims to evaluate the proportion of abnormal placenta among mothers undergoing repeat LSCS & to assess the risk of abnormal placenta among women with previous caesarean deliveries and thus decide on the revising the guideline on the indication of LSCS. This was an hospital based observational study conducted in the Department of Obstetrics and Gynaecology, in a tertiary care teaching hospital over a period of two year from Jun 2022 to Jun 2024. Prevalence of placental abnormality in this study was 14.6%.In the present study 21.9% had pre-term delivery with 3.4% fetal death.About 54.1% required NIUC admission.Majority were above 2.5 kg (75.3%) with only 24.6% being low birth weight babies.APGAR score at 1 min was found to be 0-3 among 12.3% of babies.Advancing maternal age (more than 30 years), greater parity (≥3), history of previous LSCS (two or more), history of previous uterine surgery, abortion and abnormal placenta were found to significantly associated with greater risk of abnormal placenta. The most common maternal complication due to abnormal placenta was APH and PPH which required blood transfusion. From this study finding we conclude that,necessary measures need to be taken to decrease the proportion of LSCS taking this risk into consideration.Regular monitoring with USG and MRI is also needed to detect the abnormal placentation at the earliest.