DOI: https://doi.org/10.36347/sasjm.2025.v11i12.011

Pages: 1204-1205

Background: The increasing global rate of cesarean deliveries has raised concern regarding placental implantation abnormalities in subsequent pregnancies. This study aimed to evaluate the placental location in pregnant women with previous cesarean sections using ultrasound. Methods: A descriptive cross-sectional study was conducted at Elmek Nimir University Hospital, River Nile State, Sudan, from February to August 2025. A total of 150 pregnant women aged 18–40 years with a history of cesarean section were included. Placental location was assessed using transabdominal ultrasound with a full bladder. Placental sites were categorized as anterior, posterior, fundal, low-lying, or previa. Data were analyzed using SPSS version 20. Results: The majority of participants (37.3%) were aged 24–29 years, and 47.3% had one previous cesarean section. The most frequent placental sites were anterior (40.7%) and posterior (36%). A statistically significant association was found between the number of cesarean sections and placental site (p = 0.001). Conclusion: Most pregnant women with prior cesarean sections had anterior or posterior placental implantation. Routine ultrasound evaluation is essential for detecting abnormal placentation early, thereby improving maternal and fetal outcomes.