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. 2014 Jul;5(2):425-8.
doi: 10.4103/0976-9668.136217.

Retrospective study of risk factors and maternal and fetal outcome in patients with abruptio placentae

Soma Mukherjee  1 , Amarjeet Kaur Bawa  2 , Surbhi Sharma  3 , Yogeshwar S Nandanwar  2 , Mohan Gadam  1
Affiliations

Retrospective study of risk factors and maternal and fetal outcome in patients with abruptio placentae

Soma Mukherjee et al. J Nat Sci Biol Med. 2014 Jul.

Abstract

Introduction: Abruptio placentae (AP) which is a major cause of maternal morbidity and perinatal mortality globally is of serious concern in the developing world. We retrospectively analyzed the AP cases and evaluated its impact on fetal and maternal outcomes.

Materials and methods: The present study was undertaken from September 2007-August 2009 at a tertiary care center attached to medical college; patients of AP were selected from all cases with minimum of 28 weeks of gestation, presenting with antepartum hemorrhage. Patients underwent complete obstetrical investigations and were managed according to maternal and fetal condition.

Results: 4.4% incidence rate of AP was documented accounting for 318 cases during the study period. Most of cases were unbooked, with an average age of 34.5 years (range, 18-44) and nearly two-third of the patients were from lower socioeconomic class. Anemia was observed in 96% of patients, with 3.5 and 68% incidence of maternal and fetal mortality, respectively.

Conclusion: We observed a higher than expected frequency of AP and neonatal mortality in our study population, which is of major concern. We envisage need for mass information regarding the importance of antenatal maternal care and improvement in nutritional status, which may reduce the frequency of maternal and fetal morbidity and mortality associated with AP.

Keywords: Abruptio placentae; antepartum hemorrhage; gestational hypertension; perinatal mortality.

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Conflict of interest statement

Conflict of Interest: None declared.

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References

    1. Pariente G, Wiznitzer A, Sergienko R, Mazor M, Holcberg G, Sheiner E. Placental abruption: Critical analysis of risk factors and perinatal outcomes. J Matern Fetal Neonatal Med. 2011;24:698–702. - PubMed
    1. Bibi S, Ghaffar S, Pir MA, Yousfani S. Risk factors and clinical outcome of placental abruption: A retrospective analysis. J Pak Med Assoc. 2009;59:672–4. - PubMed
    1. Ananth CV, Savitz DA, Williams MA. Placental abruption and its association with hypertension and prolonged rupture of membranes: A methodologic review and meta-analysis. Obstet Gynecol. 1996;88:309–18. - PubMed
    1. Ananth CV, Oyelese Y, Yeo L, Pradhan A, Vintzileos AM. Placental abruption in the United States, 1979 through 2001: Temporal trends and potential determinants. Am J Obstet Gynecol. 2005;192:191–8. - PubMed
    1. Rasmussen S, Irgens LM, Bergsjo P, Dalaker K. The occurrence of placental abruption in Norway 1967-1991. Acta Obstet Gynecol Scand. 1999;75:222–8. - PubMed

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