Abruptio placenta

A retrospective study on risk factors, maternal and fetal outcome

https://doi.org/10.53730/ijhs.v6nS2.4973

Authors

  • G. Aparna Associate professor of OBG, Govt. Medical College and hospital, Nizamabad, Telangana, India
  • D. Anupama Associate professor of OBG, Govt. Medical College and hospital, Nizamabad, Telangana, India

Keywords:

abruptio placenta, antepartum haemorrhage, eclampsia, morbidity, mortality

Abstract

Background: Abruptio placenta is defined as preterm separation of normally implanted placenta and causes high maternal and neonatal morbidity and mortality. The present study was done to determine the risk factors for abruption planceta and to evaluate its impact on perinatal and maternal outcomes. Materials & Methods: This retrospective study was  carried on 135 cases of Abruptio placenta between January 2019 and September 2020 at Govt. Medical College & Hospital, Nizamabad after obtaining ethical clearance from the institution. In all cases risk factors, maternal and fetal outcome were recorded. The results of studies were recorded in percentage and frequencies and analyzed by SPSS-16 software. Results: The total number of deliveries from January 2019 and September 2020 at Govt. Medical College & Hospital, Nizamabad were 13600, out of which 135 cases were found to be Abruption. The Incidence of Abruptio placenta was 1%. It was most common in the women of age group 25-30 yrs. We found 25% of patients were associated with severe preeclampsia & eclampsia, 23% patients with chronic hypertension and 33.42% patients with normotensive. DIC occurred in 25% of cases & PPH accounts for 28% of the maternal complications.

Downloads

Download data is not yet available.

References

Meguerdichian D. Complications in late pregnancy. Emerg Med. Clin North Am. 2012;30(4):919-36.

Ananth CV, Oyelese Y, Yeo L, Pradhan A, Vintzileous AM. Placental abruption in the United States, 1979 through 2001: Temporal Trends and Potential determinants. American Journal of Obstetrics & Gynaecology.2005;192(1):191–8.

Hasegawa J, Nakamura M, Hamada S, Ichizuka K, Matsuoka R, Sekizawa A, Okai T. Capable of identifying risk factors for placental abruption. The journal of maternal-fetal & neonatal medicine. 2014; 27(1):52-6.

Brace V, Penney G, Hall M. Quantifying Severe Maternal Morbidity: A Scottish Population Study. Br. J Obstet & Gynaecol.2004;111:481-4.

Kayani SI, Walkinshaw SA, Preston C. Pregnancy outcome in severe placental abruption. Br J Obstet & Gynaecol. 2003;110(7):679–83.

Tikkanen, M. Etiology, clinical manifestations, and prediction of placental abruption. Acta obstetricia et gynecologica Scandinavica. 2010;89(6):732-740.

Pariente, G., Wiznitzer, A., Sergienko, R., Mazor, M., Holcberg, G., & Sheiner, E. Placental abruption: critical analysis of risk factors and perinatal outcomes. The Journal of Maternal-Fetal & Neonatal Medicine.2011;24(5):698-702.

Bibi, S., Ghaffar, S., Pir, M. A., & Yousfani, S. Risk factors and clinical outcome of placental abruption: a retrospective analysis. Shock. 2009;22:20.

Ananth, C. V., Savitz, D. A., & Williams, M. A. Pracental abruption and its association with hypertension and prolonged rupture of membranes: a methodologic review and meta-analysis. Obstetrics & Gynecology.1996; 88(2): 309-318

Sarwar I, Abbasi AN, Islam A. Abruptio placentae and its complications at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad. 2006; 18: 27-31.

Rasmussen, S., Irgens, L. M., Bergsjø, P., & Dalaker, K.The occurrence of placental abruption in Norway 1967-1991. Acta obstetricia et gynecologica Scandinavica. 1996; 75(3): 222-228.

Abdella TN, Sibai BM, Hays JM, et al. Relationship of hypertensive disease to abruptio placentae. Obstet Gynecol. 1984;63(3):365-370.

Devi S,Vijay Kumarr B, Joshi M. Fetomaternal outcomes in abruptio placenta. IJSR. 2016;5(11):669.

Talpur NN, Memon SR, Jamro B, Korejo R. Maternal and fetal morbidity with abruptio placentae. Rawal Med J. 2011;36(4):297-300.

Sher G. Pathogenesis and management of uterine inertia complicating abruptio placentae with consumption coagulopathy. Am J Obstet Gynecol. 1977;129:164-70.

Shrivastava V, Kotur P, Jauhari A. Maternal and fetal outcome among abruptio placentae at a rural tertiary hospital in Karnataka, India: A Retrospective analysis. Int J Res Med Sci. 2014;2(4):1655-8.

Shevell T, Malone FD. Management of obstetric hemorrhage. Semin Perinatol. 2003 ;27(1):86-104.

Subha Sivagami Sengodan*, Mohana Dhanapal. Abruptio placenta: a retrospective study on maternal and perinatal outcome.IJRCOJ.2017; 6(10):4389-4392

Published

23-03-2022

How to Cite

Aparna, G., & Anupama, D. (2022). Abruptio placenta: A retrospective study on risk factors, maternal and fetal outcome. International Journal of Health Sciences, 6(S2), 235–240. https://doi.org/10.53730/ijhs.v6nS2.4973

Issue

Section

Peer Review Articles

Most read articles by the same author(s)