title: Major Placenta Previa: Rate, Maternal and Neonatal Outcomes Experience at a Tertiary Maternity Hospital, Sohag, Egypt: A Prospective Study.
abstract: BACKGROUND
  Major degree placenta is a serious health issue and is associated with high fetal-maternal morbidity and mortality. Literature from developing countries is scant.
  
  
  OBJECTIVE
  To determine the prevalence and maternal and neonatal outcomes among women with major placenta previa (PP).
  
  
  METHODS
  A prospective descriptive study of 52 singleton pregnancies with PP was evaluated in this study. The study was conducted at Sohag University Hospital, Egypt from January through June 2014. Outcome measures, including the prevalence of PP, maternal and neonatal outcomes, and case-fatality rate.
  
  
  RESULTS
  The total number of deliveries performed during the study period was 3841, of them, 52 cases were placenta previa. Thus, the prevalence of PP was 1.3%. The mean of previous cesarean scars was 2.2±1.4. Of women with PP, 26.4% (n=14) had placenta accreta. In total, 15.1% (n=8) of women underwent an obstetric hysterectomy. From the total no. of babies, 13.2% (n=7) were delivered fresh stillborn babies. Of the surviving babies (n=45), 20% (n=9) required admission to NICU. The frequencies of bowel and bladder injuries were 3.8% (n=2) and 13.2% (n=7) respectively. There was no maternal death in this study.
  
  
  CONCLUSIONS
  The rate of PP is comparable to previous studies, however, the rate of placenta accreta is high. Also, there are high rates of neonatal mortality and intraoperative complications which can be explained by accreta. The study highlights the need to revise maternity and child health services.
authors.affiliation: Professor, Department of Obstetrics and Gynecology, Sohag University , Egypt .
authors.forename: Salah Roshdy
authors.initials: SR
authors.lastname: Ahmed
authors.affiliation: Professor, Department of Obstetrics and Gynecology, Sohag University , Egypt .
authors.forename: Abdusaeed
authors.initials: A
authors.lastname: Aitallah
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynecology, Sohag University , Egypt .
authors.forename: Hazem M
authors.initials: HM
authors.lastname: Abdelghafar
authors.affiliation: Associate Professor, Department of Obstetrics and Gynecology, College of Medicine, Qassim University, Saudi Arabia & University of Bahri , Sudan .
authors.forename: Mohamed Alkhatim
authors.initials: MA
authors.lastname: Alsammani
keywords: Complications; Morbidity; Mortality; Prevalence