Risk Factors and Pregnancy Outcome of Placental Abruption at the Niger Delta University Teaching Hospital, Okolobiri, South-South Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 5, Issue 8
Abstract
Aim: To determine the incidence, predisposing factors, clinical presentation and perinatal and maternal outcome of patients managed for abruptio placenta. Study Design: A retrospective review. Place and Duration of Study: Department of Obstetrics and Gynaecology, Niger Delta University Teaching Hospital, Okolobiri between January 2009 and December 2013. Materials and Methods: Data were collected from records of all patients presenting with abruptio placenta. Information extracted from the records included demographics, parity, gestational age, clinical presentation, risk factors for abruptio placenta, complications, and perinatal and maternal outcome. Data analysis was performed with Epi info version 6.04d. The results are presented as means with standard deviations, percentages, rates and proportions. Association between maternal age and selected obstetric and neonatal variables were assessed using the chi-square and the two-tailed Fisher exact test. Results: A total of 40 cases of abruptio placenta were seen out of 2,736 deliveries giving an incidence of 1.46%. Age did not significantly affect the incidence of abruptio placenta in this study (p=0.13). High parity was significantly associated with abruptio placenta (p = 0.02). Unbooked status and Low socio-economic class were both significantly associated with abruptio placenta (p<0.001). Possible abdominal trauma due to traditional abdominal massage was documented in 26 (72.2%) cases and was significantly associated with abruptio placenta (p<0.01). There was one maternal death giving a case fatality rate of 2.8%. There were 19 perinatal deaths giving a perinatal mortality rate of 527.7 per 1000 births. Conclusion: Lack of antenatal care and traditional abdominal massage during pregnancy are major predisposing factors to abruptio placenta in our environment. Perinatal mortality associated with abruption placenta is high.
Authors and Affiliations
Isaac Joel Abasi, Israel Jeremiah, Atombosoba Adokiye Ekine
Keywords
Related Articles
- EP ID EP345022
- DOI 10.9734/BJMMR/2015/12842
- Views 80
- Downloads 0
Estimated Glomerular Filtration Rate in Patients with Lower Urinary Tract Symptoms/Benign Prostatic Obstruction in an Emerging Tertiary Centre
Background: The association of benign prostatic hypertrophy (BPH) and chronic kidney disease (CKD) has been a subject of controversies. Combinations of recurrent urinary tract infections, chronic retention with large res...
Automatic Extraction of the Aorta and The Measurement of Its Diameter
Aims: The objective of this research is to extract the aorta and to measure its diameter for preoperative planning of heart surgeries such as Endo Vascular Aortic Repair (EVAR) or Aortic Valvular Replacement (AVR). Stud...
Moringa oleifera Enriched Diet Ammeliorates the Toxic Effects of Palm Wine and Local Gin (Ogogoro) on Some Biochemical Parameters in Albino Rats
The effect of Moringa oleifera enriched diet on the toxic effects of palm wine and local gin on liver enzymes, lipid profile and electrolytes in albino rats was determined in this research. Methodology: Thirty female al...
Association of BRCA1/2 Mutation and TP53 Over-Expression with Sporadic vs. Hereditary Iraqi Ovarian Cancer Patients
Aims: In Iraq, ovarian cancer is the fifth most common cause of death, and the 6th in the list of most common cancers. While TP53 is the most common tumor suppressor gene involved with human malignancies, ovarian cancer...
Prevalence of Allergic Rhinitis Symptoms and Positive Skin Prick Test Results in Children with Recurrent Epistaxis
Background: Allergic Rhinitis is type 1 hypersensitive reaction of nasal mucosa and its primary mediator is IgE. Allergic rhinitis is mostly observed on children and adolescents. To investigate the prevalence of allergic...