Study of Maternal and Perinatal Outcome in 100 Cases of Abruptio Placentae
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 7
Abstract
Aims and objectives: 1) To study possible etiological factors of abruptio placentae 2) To analyse maternal outcome in the form of maternal morbidity and mortality 3) To study perinatal outcome in the form of mortality and morbidity 4) To discuss possible preventive measures and future management option. Methodology: This prospective study was conducted from June 2016 to May 2017 at Department of Obstetrics and Gynaecology, BJ Medical college Ahmedabad. Total of 100 diagnosed cases of abruptio placentae were included in the study after obtaining informed consent. Results: In the present study incidence of abruptio placentae is higher in the age group of 21-30 year that were 66% and more in primi patient. As PIH was most common risk factor of the abruptio placentae accounting for 48%, most of the patients (89%) were anaemic at the time of admission and majority of them required blood transfusion. On account of complication like PPH (11%) and DIC (16%), AKI (6%) patients needed to be transfused PCV/FFP/PRC/Cryoprecipitates. About 5% of cases required ICU monitoring. Four maternal mortalities (4%) occurred, perinatal mortality was 72%. Such a high rate was due to IUD which had more occurred in cases of abruptio placentae leads to poor prognosis as there is late presentation of the patient to the hospital, during which time the disease progress to an advanced stage. Conclusion: Abruptio placentae do stand out as a serious condition with manifestation of signifcant maternal and perinatal morbidity and mortality. These complications can be reduced by provision of antenatal care to every woman at their doorsteps and with improvement in medical facilities, early diagnosis, availability of blood transfusion, good anaesthesia, proper management of shock and other complication of pregnancy along with liberalization of caesarean section, the rate of maternal morbidity and mortality is gradually on the decline.
Authors and Affiliations
Lalit D Kapadia| Professor and Head, Department of Obstetrics and Gynaecology, Civil Hospital, Ahmedabad, Gujarat, India, Bindeeya Dhrangiya| Resident Doctor, Department of Obstetrics and Gynaecology, Civil Hospital, Ahmedabad, Gujarat, India Corresponding e-mail: dhrangiyabindeeya@gmail.com
Keywords
Related Articles
- EP ID EP12413
- DOI -
- Views 370
- Downloads 15
SEMINAL PLASMA LEVELS OF LEAD AND MERCURY IN INFERTILE MALES IN BENIN CITY, NIGERIA
Background/objectives: Studies on environmental exposure to toxic metals and their effects on male reproductive function are scare in our setting. This study evaluates the levels of lead and mercury in seminal plasma o...
The Assessment of Patient Clinical Outcome: Challenges, Methods, and Conceptual Limitations
The patient clinical outcome assessment is a very important factor in order to guarantee the patient safety. It is the assessment of patient outcome in respect of mental status, symptoms, or impact of ill health on how...
A Study to Evaluate the Role of Intravenous Immunoglobulin (IVIG) as an Adjuvant in the Management of Neonatal Sepsis in Preterm Babies
Introduction: Newborn children conceived before 32 weeks of incubation are genuinely immune defcient with cord blood centralization of IgG being not as much as half contrasted with those found in infants conceived at fu...
Investigating the Ratio and Type of Bacterial Contamination of Dentists’ Mobile Phones in Dentistry Unit of Sina Hospital in Ahvaz in 2014
Infection transmission in dentistry is an inevitable issue that occur variously, and one of the contamination transmission ways is dentist’s mobile phone. Therefore, this study has been performed aiming at “Investig...
REVIEW OF RENAL BIOPSY DATABASE: A SINGLE CENTRE SOUTH INDIAN STUDY
Background: The epidemiology of biopsy- proven renal disease (BPRD) provides information that is useful for clinical practice and investigation. India lacks a national renal data registry system and there is a scarcity...