Abstract
Background: Placenta previa is the most common cause of postpartum hemorrhage. Associated with either maternal or fetal morbidity and mortality. Placenta previa is considered a major risk factor for perinatal adverse events.
Aim of the study: to evaluate the fetal outcomes among pregnant women with major degree placenta previa at Zagazig University Hospitals.
Materials and Methods: observational cohort study held at the High-Risk Pregnancy Unit at Zagazig University Hospitals, from January to June 2019.
A Results: Eighty pregnant women included in our study. The mean age was 32.3 years, while the mean gestational age was 36.2 weeks. Central placenta previadetected in most of the patients (52.5%), while placenta accrete reported in 39 women (48.8%). Fifty-six women had a completely covered internal cervical os. Most of the neonates (70%) were males with a mean birth weight of 2912.5 (490) gm and good APGAR score (85.0%). Thirteen neonates had jaundice, and 17 neonates required neonatal intensive care unit admission. Only five neonates (6.3%) died. Placenta previa centralis associated with higher incidence rate of bad APGAR score, admission to neonatal intensive care unit, stillbirth, and neonatal morbidity; however, we detected no statistically significant difference among the three types of placenta previa regarding all fetal outcomes total of 80 pregnant women diagnosed with placenta previa after 20 weeks of pregnancy.

Conclusions: Placenta previa should be considered as a marker for possible obstetric complications.Careful evaluation with timely delivery to reduce the complications should be considered as well as developing a prenatal screening protocol.