European Journal of Cardiovascular Medicine

Background: Placental location can be estimated easily using ultrasonogram by 16 weeks. It can be classified based on its location into central and lateral. Central can be anterior or posterior. Lateral can be left lateral or right lateral. Placental location has been attributed to both normal and abnormal pregnancy and neonatal outcomes. Methods: this is a hospital based observational study was conducted in the Department of Obstetrics and Gynaecology, Gandhi Medical College,Bhopal. After approval from institutional ethical committee for a period of 18 months from January 2021 to June 2022. Primigravida patient admitted at Department of Obstetrics and Gynaecology, Gandhi Medical College, Bhopal will be included with consideration of inclusion and exclusion criteria.  Results: 56.1% of the 540 participants were 18–24 years old. 61.5% were rural residents, , and the mean age was 24.63 years with a standard deviation of 4.79. 182 (33%) and 66.3% study participants were booked.The Modified Kuppuswamy scale classified 53.7% of the 540 participants as lower socioeconomic class. Majority of the study participants had fundal placental location(41.9%), most of Preterm labour and PROM associated with fundal and lateral placenta(30.8%), In this study, majority of participants with anterior placenta had 4.7% had Puerperal sepsis, 34.8% had retained placenta and 34.6% had PPH. Anterior placental location had statistical significant association with Retained placenta. Among foetal complications, 5.6% of babies had depressed Apgar at 1 min and 4.7 % of babies had depressed Apgar at 5min mostly associated with anterior placenta(33.3%) and (40%) and required NICU admission. Among 0.95% neonatal deaths mostly 60% neonatal deaths because of ARDS which is associated with posterior placenta location (66.7%). Conclusions: There is a significant association between abnormal placentation and abnormal pregnancy and neonatal outcomes. Second trimester ultrasound can be used as non-invasive predictor of adverse pregnancy and neonatal outcomes.