The Relation Between the Degree of Invasion of the Placenta in Scarred Uterine Wall and Gestational Age in Cases of Placenta Previa

Abstract

Due to the increased use of caesarean sections, the incidence of placenta previa has recently been estimated to be 0.5% of all gravidities. Due to the significant prenatal and intrapartum depletion associated with placenta previa, this condition is a leading cause of maternal morbidity and death. placenta previa is associated with antepartum haemorrhage, and massive bleeding necessitating a preterm caesarean section does not occur in all women with the disease. This study aimed to examine the relation between the degree of invasion of the placenta in scarred uterine wall and gestational age in cases of placenta previa. A cross-sectional retrospective study was conducted between January 2023 to October 2024, patients with placenta previa and a previous scar on 43 patients collected from the Tobruk Medical Center (gynaecological and obstetric department). The results showed a significant increase in gestational age in the nonscar group and a more pronounced association with low gestational age in the scar-related group. At the same time, accreta and mild invasion were associated with longer gestational ages. The Incidence of accreta was a long gestational age; it was also found that the increase in scar correlates with low gestational age