Gynecology & Obstetrics
Open Access

Obstetric characteristics and outcomes in different types of placenta previa in Albania

2^nd International Meeting on Gynecology and Obstetrics Pathology

November 19-20, 2018 | Paris, France

Ilta Bylykbashi

University Hospital for Obstetrics and Gynaecology Queen Geraldine, Albania

Posters & Accepted Abstracts: Gynecol Obstet

Abstract :

Placenta Previa (PP), both major and minor, affects approximately 1 in 250 pregnancies and, at times it can be life threatening, with an associated perinatal mortality rate 3-4 times higher than normal pregnancies. The aim of this study was to compare general and obstetrical characteristics and outcomes of pregnant women presenting with different types of PP in the premises of University Hospital for Obstetrics and Gynecology �??Queen Geraldine�?� during 2013-2017 in Tirana, Albania, a post-communist South-East European country. In total there were diagnosed 169 PP cases among 34992 births, with an incidence rate of 0.48%. Major PP (total or partial) was present in 79 women (46.7%) and minor PP (marginal) was present in 90 women (53.3%). In total 10 hysterectomies were performed among PP women (9 in major PP women). Placenta accreta was present in 8 major PP women (10.1%) and 1 minor PP women (1.1%). Maternal and gestational age, parity and previous cesarean deliveries were similar (P>0.05) among major and minor PP women. Almost all PP women needed (96.4%) blood transfusion. Morbidity among PP women included: post-partum hemorrhage (23.1%), puerperal sepsis (36.7%), wound infection (5.3%), acute renal failure (4.1%), disseminated intravascular coagulation and urinary tract infection (1.8% each). Significantly more major than minor PP women needed 4 or more units of blood. Major placenta previa entails a more disadvantageous morbidity and mortality profile compared to minor PP women in Albania. This finding has medical and public health implications.

Biography :

Ilta Bylykbashi graduated from University of Tirana in the year 2003. She was awarded the title of “Best student of University”. She has been working in the University Hospital under the department of Obstetrics and Gynecology. She has published several papers in different journals and participated in international and national conferences.

E-mail: ilta.bylykbashi@yahoo.com