Objective: To determine the Incidence of Placental Abruption and the morbidity / mortality associated with it. Design:Prospective and Observational case Study. Setting & Duration: Department of Obstetrics & Gynecology, Liaquat University of Medicaland Health Sciences Hyderabad, for a period of 15 months from January 2007 to March 2008. Patients & Methods: Among all theantenatal patients delivered during the period under review, those suffering from Placental abruption were entered into this study bycompleting a proforma for each patient. After history, examination and initial management, investigations were carried out. These patientswere managed on case to case basis depending on the progression of abruption and delivery. After delivery whether spontaneous or bycesarean section the condition of mother and subsequent complications were recorded and results analyzed on SPSS version 10.Results: During the period 15 months, 2760 patients were admitted to labour room /labour ward and delivered. Among these, 100patients had abruption making an incidence of 2.89% per year. According to the degree of abruption 33 had mild, 50 had moderate and 17had severe abruption. 42% had spontaneous vaginal delivery, and 52% underwent cesarean section. 36% of Abruptio patients, developedcomplications like shock, PPH and DIC. One (1%) patient died in severe abruption. Conclusions: The incidence of Abruptio Placentae inthis study is comparable to local studies and studies from developing countries, but is high in comparison to studies from developedcountries. The maternal morbidity and mortality rate is not as high as in other studies.

Objective: To determine the frequency of risk factors associated with Placental Abruption. Design: Prospective andObservational Case Study. Setting & duration: Department of Obstetrics & Gynecology, Liaquat University of Medical and Health SciencesHyderabad, for a period of 15 months from January 2006 to March 2007. Patients & methods: All the antenatal patients/ pregnant ladiesadmitted to labour room /ward and delivered during the above mentioned period were scrutinized and those suffering from Abruptio Placentaewere entered into this study by completing a proforma for each patient. The risk factors studied were; Age of Patient, Parity, past history ofabruption, rural belonging, history of trauma, association with diabetes, hypertension, smoking and anemia. Results were analyzed on SPSSversion 10. Results: A total of 100 patients suffering from placental abruption were studied during 15 months period. The commonest age groupwas 30 years (47%). Majority (54%) was multiparous, 66% belonged to rural population and among these, 2/3 were unbooked. Only one patientgave history of trauma. 5 patients had history of previous abruption. History of diabetes was present in only one patient, whereas 38% werehypertensive. Only 4 patients gave positive history of smoking. Anemia was the single most common factor present in 83% ladies.Conclusions: Age around 30 years, multiparity, hypertension, presence of anemia, rural belonging and previous abruption are the risk factorsfor placental abruption as per this study. No association of abruption has been found with trauma, diabetes or smoking in this study.