Document Detail


Perinatal outcome and near-miss morbidity between placenta previa versus abruptio placentae.
MedLine Citation:
PMID:  21333237     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare perinatal outcome and near-miss morbidities between placenta previa versus abruptio placentae in patients of antepartum haemorrhage (APH).
STUDY DESIGN: Cross-sectional, analytical study.
PLACE AND DURATION OF STUDY: Gynaecology Unit II, Civil Hospital, Karachi, from August 2007 to July 2009.
METHODOLOGY: Patients with APH diagnosed as placenta previa and abruptio placentae who delivered after 24 weeks of pregnancy were selected from labour room. Outcome measures were birth weight, neonatal intensive care admission, stillbirth, perinatal mortality rates, near-miss, surgical intensive care admission, postpartum haemorrhage, hysterectomy, massive transfusion, renal failure, coagulopathy and maternal death. Stillbirth was defined as a fetus weighing≥500 gm showing no sign of life after birth. Near-miss was defined as severe organ dysfunction which if not treated appropriately, could result in death. Descriptive statistics were calculated and chi-square was applied with significance level<0.05.
RESULTS: Stillbirths and perinatal mortality rates were significantly higher in abruptio placentae, 52.97% versus 18.18% and 534/1000 versus 230/1000 (p<0.01). Near-miss cases were also significantly higher in abruptio placentae, 22.27% verus 11.18% (p<0.01). Hypovolemic shock and coagulation failure were also significantly higher in abruptio placentae (p<0.05).
CONCLUSION: Abruptio placentae carry significantly higher perinatal mortality and near-miss morbidity than placenta previa.
Authors:
Saima Aziz Siddiqui; Gulfishan Tariq; Nargis Soomro; Aneela Sheikh; Farah Shabih-ul-Hasnain; Kanwal Aftab Memon
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  21     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-21     Completed Date:  2011-04-21     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  79-83     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Unit II, Dow University of Health Sciences and Civil Hospital, Karachi. symaaziz@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Abruptio Placentae / physiopathology*
Adult
Chi-Square Distribution
Cross-Sectional Studies
Female
Fetal Death
Humans
Infant Mortality
Infant, Newborn
Morbidity
Placenta Previa / physiopathology*
Pregnancy
Pregnancy Outcome*
Comments/Corrections
Erratum In:
J Coll Physicians Surg Pak. 2011 Mar;21(3):192

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


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