A study of maternal and fetal outcome in cases of abruptio placentae

Abstract

Aims and Objectives:1. To study maternal and fetal outcome in cases of abruption placenta. 2. To analyse its risk factors. 3. To study its complications. 4. To study mode of delivery in cases of abruption placentae. Methodology: It is an observational study carried out in Government Medical College And Hospital, Akola from November 2017 to April 2019.Total 140 diagnosed cases of abruption placenta were included in this study. A detailed obstetrics history along with maternal high risk factors were noted. Examination, investigations and complications were studied. Results: The incidence of abruptio placentae was 1.05% or 1: 94. Majority of cases i.e. 81.4% are from rural areas and belongs to low socioeconomic status. Maximum number of cases seen in primigravida in the age group of 22-25 years. Hypertensive disorders of pregnancy was a risk factor in 65% of cases followed by premature rupture of membranes (6.4%), H/O prior abruption (2.8%), Polyhydraminos (5%).In 20% of cases vaginal delivery occurred and in 80% caesarean section needed. Severe Anaemia was the commonest complication of abruption placentae followed by postpartum haemorrhage (30%), DIC (15%), AKI (12%).Obstetric hysterectomy was performed in 4% of cases. ICU monitoring required in 3% of cases. 1 maternal mortality occurred and perinatal mortality rate was 68.5%, it can be due to late presentation of the patient to the hospital, during which time it progress to an advanced stage. Conclusion: Abruption placenta is a cause of significant maternal and perinatal mortality. The overall incidence of abruption can be decreased by providing proper antenatal care, early diagnosis, availability of blood transfusion, strict survelliance, prompt action at the time of occurrence.

Fetal and maternal outcomes among pregnant women with placental abruption associated with disseminated intravascular coagulation attending a rural tertiary care centre

“…These findings were comparable to an observational study by Wahane et al in India, out of 140 women, 42 were live babies while 39 were stillborn babies. 19 Overall, the maternal outcome was also good due to proper obstetrics care, a wide range of antibiotics, and blood component transfusion. Only 6 (8.33%) patients had maternal complications in the present study.…”

Maternal Outcome in Patients with Abruptio Placenta: A Comprehensive Analysis in A Tertiary Care Hospital

“…The present study delves into the maternal outcomes of Abruptio placenta, focusing on an in-depth analysis conducted in a tertiary care hospital. Such institutions, equipped with advanced facilities and specialized medical expertise, are pivotal in understanding and managing this condition (6). The pathophysiology of Abruptio placenta involves premature placental separation, leading to diminished oxygenation and nutrition for the fetus.…”