Document Detail


Abruptio placenta and adverse pregnancy outcome.
MedLine Citation:
PMID:  20527640     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the risk factors in pregnancies complicated with abruptio placenta METHODS: Case-control study. The study was conducted at department of Obstetrics and Gynecology Unit 3, Civil Hospital, Dow University of Health Sciences Karachi. The study period was from January to December 2008. All pregnant women who were diagnosed with abruptio placenta after 28 weeks of gestation were included in the study. They were compared with women who had live birth during the study period. This group was taken as controls. Both groups were identified from the admission, labour room registers. RESULTS: Total number of deliveries during the study period was 2610. Patients identified with abrupio placenta were 81, giving a frequency of 3.75%. Majority (44%) of women were between 26-30 years of age group. Forty three (54%) of the women were second, third or fourth gravida. The mean gestational age was 34 +/- 4.21 weeks. Forty one (51%) delivered preterm before 37 weeks and 40 (49%) delivered at or after 37 completed weeks of gestation. Vaginal delivery was the main mode of delivery, followed by Caesarean section. Vaginal bleeding was the most common clinical finding seen in 80% (68/81) women, followed by blood stained amniotic fluid in 45% (37/81). Foetal heart sounds were absent on admission in 65% (53/81). There were two maternal deaths due to postpartum haemorrhage. The perinatal mortality rate was 66% (54/81). Parity and gestational age were found to be significant risk factors for abruptio placentae (p < 0.031 and p < 0.001 respectively). CONCLUSION: Abruptio placenta is associated with poor maternal and foetal outcomes.
Authors:
Nazli Hossain; Nusrat Khan; Syeda Seema Sultana; Nazeer Khan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  60     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-09     Completed Date:  2010-07-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  443-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynecology Unit-3, Civil Hospital & Dow University of Health Sciences,1-3 Karachi, Pakistan.
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / epidemiology*,  etiology
Adult
Case-Control Studies
Delivery, Obstetric / adverse effects
Female
Fetal Death* / epidemiology,  etiology
Gestational Age
Humans
Infant, Newborn
Logistic Models
Maternal Age
Maternal Mortality
Pakistan / epidemiology
Parity
Pregnancy
Pregnancy Outcome / epidemiology*
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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