Placenta previa - Mohamed Derbel - Bog

Problematic: It is a frequent obstetrical pathology, multifactorial and which can put at stake the maternal vital prognosis. Aim of the work: To establish the epidemiological profile of parturients having presented a PP, to compare the clinical characteristics of the PP between the overlapping / non-overlapping groups and to evaluate the maternal prognosis of this pathology, Methods: Our study is retrospective about 179 cases of PP recorded over a period of 2 years, going from January 1, 2019 to December 31, 2020. Results: The frequency of PP was 0.87%. The main risk factors: advanced maternal age, multiparity, history of abortion, and scarred uterus. . Delivery by caesarean section is performed in 87.2%. Recovering variety was noted in 36.3%. Hemostasis hysterectomy was necessary in 5.6% of cases and multivariate analysis showed, after adjustment for the association with placenta accreta, that parity (OR=8.2) was an independent risk factor for HH. Conclusion: Placenta previa remains a potentially serious obstetric pathology because of the capcapricious and unpredictable nature of the condition.