Feto-maternal Consequences of Placental Abruption: A Multicenter Study
DOI:
https://doi.org/10.47489/szmc.v39i4.650Keywords:
placental abruption, intrauterine fetal death, stillbirth, postpartum hemorrhageAbstract
Background: The term "placental abruption" refers to a condition in which the fetus remains within the uterus beyond the 20th week of pregnancy, and the placenta separates from the uterine wall, either completely or partially. Placenta abruption is associated with worse fetal outcomes.
Objectives: To determine the feto-maternal consequences in pregnant females presenting with placental abruption in terms of fetal death, preterm delivery, postpartum hemorrhage, and uterine atony.
Methods: One hundred females with placental abruption were included from emergency of a tertiary care hospital in Lahore, Pakistan. Females were screened for maternal anemia, and HELLP syndrome was noted. Females were also observed for intrauterine death, mode of delivery, preterm delivery, stillbirth, postpartum hemorrhage and uterine atony were noted. Total hospital stay was also noted. All this data was recorded on proforma and analyzed in SPSS v23.
Results: The average age of the female participants in this research was 31.51 ± 7.70 years. The symptoms of abruption lasted 5.16 ± 1.48 days on average. Anemia accounted for 36 (36%), followed by pregnancy-induced hypertension (33%) and abnormal amniotic fluid index (28%) and trauma (3%). Anemia was the leading cause of abruption. Upon doing a clinical examination, it was found that 15 (15%) of the female patients had HELLP syndrome, 4 (4%) had intrauterine death, 56 (56%), had preterm delivery, 8 (8%) had stillbirths, 40 (40%) had postpartum hemorrhage, and 17 (17%) had unborn children.
Conclusion: The chances of feto-maternal consequences of placental abruption are high, especially preterm delivery and post-partum hemorrhage.
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