MULTIPLE CAESAREAN SECTIONS – AN ASSOCIATION WITH INCREASING FREQUENCY OF PLACENTA PRAEVIA

This study was conducted to look for risk factor for placenta praevia particularly the increasing frequency of placenta praevia in patients with multiple caesarean sections and their compli- cations. The place of this work was obstetrics and gynaecology Unit of Mola Buksh Teaching Hospital of Sargodha Medical College. The duration of study was 1 year from first June 2007 to 31st May 2008. Sixty patients with placenta praevia included in the study. Forty patients (67%) had major degree placenta praevia, 14 (23.3%) had history of previous caesarean section. Seven patients (11%) had severe PPH, out of which three, had hysterectomy due to morbidly adherent placenta. They had previous history of multiple caesarean sections. It was concluded that there is can increasing frequency of placenta praevia in patients with previous history of caesarean sections.