European Journal of Cardiovascular Medicine

Aims & Objectives: To compare the incidence of placenta previa in current pregnancy in women with previously scarred and unscarred uterus. To compare the differences in incidence of placenta previa in current pregnancy in women with previously scarred and unscarred uterus; To compare the difference in maternal complications in current pregnancy in women with previously scarred and unscarred uterus; To compare the difference in fetal complications in current pregnancy in women with previously scarred and unscarred uterus. Methods: This was a Prospective cohort study conducted at Department. of Obstetrics and Gynecology, Kurnool Medical College and associated hospital, Kurnool from March 2021 to March 2022. Results: There were a total 1000 participants in the trial, of which 500 had a history of vaginal delivery in the past (Control Group PVD) and 500 had a history of uterine scarring in the past (Study Group PSU). In this current study, there were no significant differences in this patient distribution between the two groups based on presenting complaints like APH, and mean age, parity, GA, and foetal complications not appearance were comparable between the two groups. In this present study, in the women group PSU the number of previous cesarean sections were 1 in 69.2%, 2 in 27.6%, 3 in and above is 1.2% of the women, 2% of the women have history of D&C. With their history of one, two, three, or more cesarean sections or history of DC, placenta previa was observed in 3.1%, 12.3%, 33.3%, and 10% of instances, and the difference was determined to be statistically significant, indicating that scarring is a substantial risk factor for previa. Placenta prevalence was 2.4% in the PVD group and 6.8% in the PSU group, indicating a higher prevalence in the PSU group. The Placenta Previa group of PSU had more postpartum hemorrhage cases and interventions than the PVD group. Low birth weight (LBW), preterm, low APGAR scores, and NICU admissions were comparable in both groups with a modest increase in the PSU group. Conclusion: The current study's findings showed that uterine scarring in the past had a substantial impact on the chance of placenta previa in a subsequent pregnancy. Therefore, it's critical to encourage vaginal birth as much as possible. Regular prenatal checks, early diagnosis, and skillful management of previa are the keys to optimal maternal care.