Peripartum Management of Placenta Previa and Abruption Placenta in Rural Perspectives: A Real Test of Obstetrician’s Clinical and Surgical Skills
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Antepartum haemorrhage (APH) complicates 3-5% of all pregnancies. Abruption placenta and placenta previa contributes 60-70% of total causes of APH. It also predisposes a patient further for PPH and makes her condition more critical. Aim & Objectives: to present our experience on peripartum management and handling of complications in patients of abruption placenta and placenta previa. Material & methods: this is a retrospective study in the department of obstetrics & gynecology in a rural medical college during its first three years of establishment. The data was collected from the medical records and statistically analyzed for presentation of patients, neonatal outcome and management of peripartum complications focusing on different methods of controlling postpartum haemorrhage in both the conditions. Results: The incidence of APH, abruption placenta and placenta previa in the present study was 3.65%, 2.54% & 1.11%. Majority of patients in the study group were 25.77±4.88yrs age and multiparous (2.8±1.64). Risk factors for placenta previa were present in 18.77% patients. Neonatal morbidity and mortality were more commonly associated with abruption placenta. The most common complication was postpartum haemorrhage secondary to uterine atony, morbidly adherent placenta and DIC. Other complications include on table cardiac arrest, long ICU stay. Conclusion: Antepartum haemorrhage itself makes patient condition haemodynamically critical and further post partum haemorrhage narrows the window of survival for the patient. An obstetrician clinical and surgical skills plays a critical role in survival of such patients.
Authors and Affiliations
Dr Vijayata Sangwan
Keywords
Related Articles
- EP ID EP285271
- DOI -
- Views 70
- Downloads 0
Study of expression and correlation of vascular endothelial growth factor with grading and staging of breast carcinoma
Breast cancer is the most frequent malignancy in women all over the world, resulting in death in one forth of the cases. To date, many efforts are being performed to identify prognostic factors and their relevant therape...
The Role of Computed Tomography in the Diagnosis of Pediatric Hydrocephalus
Introduction: The introduction of Computed Tomography has major advance role in the diagnosis of Pediatric Hydrocephalus. Despite of improved resolution of the Ultrasound machines exact ventricular assessment is not poss...
Olecranon Fossa in Humeri of North Indian Population of Jammu- A Morphometric Study
Introduction: Fractures of olecranon can occur as a result of hyperextension trauma to elbow joint. Various implants are available for diverse fractures in distal humerus and these are contoured for anatomy of this regio...
Perinatal Outcome in Pregnancies with Polyhydramnios
Polyhydramnios is defined as an amniotic fluid volume of more than 2000 ml, is confirmed ultrasonographically by single vertical pocket more than 8cm or amniotic fluid index more than 25 cm. Polyhydramnios complicates 0....
An Asymptomatic Gossypiboma: A Case Report
Gossypiboma is a term used to denote a mass of cotton material,usually, gauze, sponges and towels, inadvertently left in the body cavity at the end of a surgical operation [1],[2] Presenting here, the case of a 27 year o...