• Tayyiba Wasim, Natasha Bushra, Saher Riaz, and Hafiza Iqra Iqbal.
• Dr. Tayyiba Wasim, FCPS, Department of Gynecology, Services Institute of Medical Sciences, Lahore, Pakistan.
• Pak J Med Sci. 2020 Jul 1; 36 (5): 952-957.

ObjectivesTo assess maternal and fetal morbidity associated with placenta previa and morbidly adherent placenta (MAP).MethodsAll patients with placenta previa who delivered in services hospital from April 1, 2017 to March 31, 2019 were included. Maternal and fetal outcomes were compared amongst patients with placenta previa and MAP.ResultsTotal of 8002 patients delivered with 152 (1.9%) diagnosed as placenta previa and 56 (36.8%) amongst them had MAP. One hundred thirty-one out of One hundred fifty-two (86.1%) of our patients were booked. Increased number of caesarean section, multi parity and anterior placenta had significant association with MAP (p<0.0001). Maternal morbidity in terms of postpartum hemorrhage >2000ml, caesarean hysterectomy, number of blood transfusions, bladder injury, need for ICU admission was significantly more in patients with MAP (p<0.0001). Case fatality was 3% with two maternal deaths in MAP and none in placenta previa. Fetal outcome was good in both groups as gestational age at delivery was 36 weeks or more, birth weight was ≥ 2.5 kg and >6 APGAR score (p<0.05). Two neonatal deaths occurred in MAP and one in placenta previa owing to prematurity.ConclusionMAP is a dreadful complication of placenta previa with increased maternal morbidity. Regular antenatal care with adequate arrangement of blood transfusion and multidisciplinary approach can reduce maternal mortality.Copyright: © Pakistan Journal of Medical Sciences.

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