A clinical study of abruptio placentae: Maternal and perinatal outcome
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 6, Issue 2
Abstract
Background: Abruptio placentae is a major cause of maternal morbidity and perinatal mortality and is of serious concern in the developing world. Placental abruption is the major cause of antepartum haemorrhage, which complicates 4% of all pregnancies and is considered to be an obstetrical emergency. Aims and Objectives: To determine the outcome of pregnancy in terms of maternal and perinatal morbidity and mortality in these patients. Material and Methods: This was a prospective study conducted in the department of Obstetrics and Gynecology, MNR Medical College, Sangareddy from November 2014 to October 2015 for a period of 1 year. Total of 100 diagnosed cases of abruptio placentae were included in the study. Results: The incidence of abruptio placentae is 1.8%. It is most common in the women of age group 26-30 years. Majority of women were multigravidae. Vaginal bleeding was the most common clinical finding seen in 82% of the women. Fetal heart sound were absent in 40%.Live births were 60% while still births were 40%. PPH occurred in 20% of cases, shock in 19%, DIC in 12% and renal failure in 11%. 4% patients were identified with couvelaire uterus and treated effectively. Conclusion: There is a very high maternal morbidity and perinatal mortality in Abruptio placenta.
Authors and Affiliations
V S Prasannakumar Reddy, Aradhana Giri
Keywords
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- EP ID EP475341
- DOI 10.26611/1012621
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