Incidence of Abruptio placentae in preeclampsia in a rural tertiary care hospital

Tewari, Vidushi; MN, Dharmavijaya; Nayak, Deepika

doi:10.33545/gynae.2020.v4.i6c.743

Cited by 2 publications

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“…It interrupts placental blood flow, thus it carries a significant risk to the fetus and the risk of fetal death is increased. 3,4 Preeclampsia carries a significant risk of developing placental abruption. 4 Preeclampsia is defined as the presence of hypertension and severe features with or without proteinuria which occurs after 20 weeks of gestation.…”

Section: Prefacementioning

confidence: 99%

“…3,4 Preeclampsia carries a significant risk of developing placental abruption. 4 Preeclampsia is defined as the presence of hypertension and severe features with or without proteinuria which occurs after 20 weeks of gestation. 5 Diagnosis of placental abruption is usually made clinically based on the patient's signs and symptoms such as painful vaginal bleeding, uterine tenderness, and even deceleration of fetal heart rate.…”

Section: Prefacementioning

confidence: 99%

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Severe Preeclampsia Complicated by Placental Abruption Leads to Fetal Distress

Hapdijaya¹,

Suryawan²,

Tessalina³

et al. 2023

J. Kdokt Meditek

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Placental abruption is a common complication of preeclampsia. It is an obstetric emergency that occurs when the placenta partially or completely separates from the uterine wall. The diagnosis is usually made clinically or objectively. It is relatively rare but put a serious risk for both the fetus and the mother. We reported a case of a 32-year-old multigravid patient at 35-36 weeks gestation who presented with moderate vaginal bleeding and lower abdominal pain. Her obstetric history included one premature vaginal delivery. Her blood pressure started to rise in the second trimester of pregnancy. The examination revealed that her blood pressure was 190/120 mmHg, and she had pitting edema on her extremities and tender uterine fundus. The fetal heart rate was bradycardia at 100 beats per minute. Placental abruption and fetal distress were suspected. An emergency cesarean section was performed. Intraoperatively, the uterus showed intramural bleeding and was livid, with the beginning of Couvelaire-uterus. The uterus was left in situ. In conclusion, placental abruption interrupts the vital function of the placentae which leads to fetal hypoxia and even fetal death. It is an obstetric emergency that requires immediate intervention to save the fetus and reduce the risk of complications in the mother.

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Section: Prefacementioning

confidence: 99%

Section: Prefacementioning

confidence: 99%

Severe Preeclampsia Complicated by Placental Abruption Leads to Fetal Distress

Hapdijaya¹,

Suryawan²,

Tessalina³

et al. 2023

J. Kdokt Meditek

View full text Add to dashboard Cite

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Association of abruptio placentae with hypertension in pregnancy: Analysis of risk factors in Nigerian women

Isikhuemen,

Ntoimo,

Onoh

et al. 2024

Repro Female Child Health

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ObjectiveThe incidence of abruptio placentae complicating hypertensive diseases of pregnancy is high in Nigerian referral hospitals. We conducted a retrospective case‐control study to identify the socio‐demographic, behavioural, and clinical risk factors associated with abruptio placentae in women with hypertensive diseases of pregnancy.MethodsThe 41 cases of hypertensive diseases complicated by abruptio placentae identified in the records of the University of Benin Teaching Hospital over 2 years (January 2021–December 2022) were compared with 208 women (controls) who had hypertensive diseases without developing abruptio placentae. Multiple regression analysis was used to develop maximum likelihood estimates of the adjusted odds ratios and 95% confidence intervals to predict the likelihood of the association between the exposure factors and the risk of abruptio placentae.ResultsHigh blood pressure levels at presentation, when managed, can decrease the odds for abruptio placentae by 9% OR 0.91, CI:0.83–0.9, but smoking and alcohol intake were not significantly associated with abruptio placentae. A higher haemoglobin concentration decreased the likelihood of abruptio placentae by 60% OR 0.40, (CI 0.24– 0.68), while higher birth weight babies minimally decreased the odds for abruptio placentae, OR 1.01 (CI 0.08–12.49).ConclusionWe conclude that abruptio placentae is most likely to complicate hypertensive diseases of pregnancy in Nigerian women when there are concurrent pregnancy anaemia and low birth weight babies, while higher blood pressure levels at presentation, when promptly managed, can reduce the risk of abruptio placentae. Efforts to address the concurrent management of anaemia associated with hypertensive diseases in pregnancy will most likely reduce the incidence of abruptio placentae in this population.

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Incidence of Abruptio placentae in preeclampsia in a rural tertiary care hospital

Cited by 2 publications

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Severe Preeclampsia Complicated by Placental Abruption Leads to Fetal Distress

Severe Preeclampsia Complicated by Placental Abruption Leads to Fetal Distress

Association of abruptio placentae with hypertension in pregnancy: Analysis of risk factors in Nigerian women

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