Maternal and Neonatal Outcomes of Pregnant Women Presented with Placenta Previa Attended at a Tertiary Care Teaching Hospital in Dhaka City of Bangladesh

Background: There is a higher incidence of maternal morbidity & mortality due to placenta previa spectrum disorder and its related complications like preterm labour and increase incidence of operative delivery, peripartum hysterectomy, ICU Mx and maternal death. Objective: The aim of the study was to determine the maternal and neonatal outcomes of pregnant women presented with placenta previa at a tertiary care teaching hospital in Dhaka City of Bangladesh. Methodology: This was a prospective observational study that was conducted in the Department of Obstetrics and Gynecology, Mugda Medical College Hospital. The Study was conducted over one year, from January, 2025 to December, 2025. A total of 45 pregnant women with placenta previa admitted at Obstetrics ward of Mugda Medical College Hospital were selected after fulfilling the inclusion and exclusion criteria. A pretested, language-validated structured questionnaire was used to collect information on age, parity, education, through the open interview method. Formal ethics approval was granted by Mugda Medical College Hospital, Dhaka, Bangladesh. The participants in the study were informed about the procedure and purpose of the study and the confidentiality of information provided. All participants consented willingly to be a part of the study during the data collection period. Results: Most women in the study were delivered by cesarean section, accounting for 93.3%, while only 6.7% had a vaginal delivery. Hysterectomy was performed in 35.6% of the women. Postpartum hemorrhage was the most common maternal complication 28.9%. Among newborns, prematurity was most frequent 15.6%, followed by IUGR 6.7%, and 28.9% required NICU admission. Mean fetal weight was 2.53 ± 0.37 kg (median 2.50 kg; range 1.40–3.30 kg). The mean Apgar score was 7.87 ± 0.50 at 1 minute and 8.98 ± 2.44 at 5 minutes, with median scores of 8 and 10, respectively. Conclusion: Placenta previa is associated with life-threatening postpartum hemorrhage. Regular antenatal care ensuring serial USG, planned delivery, arrangement of blood transfusion, and a multidisciplinary approach can reduce maternal morbidity and mortality. Journal of National Institute of Neurosciences Bangladesh, January 2026;12(1):120-125