INCIDENCE OF PLACENTAL ABRUPTION;

Morbidity / mortality associated with it

Abstract

Objective: To determine the Incidence of Placental Abruption and the morbidity / mortality associated with it. Design:
Prospective and Observational case Study. Setting & Duration: Department of Obstetrics & Gynecology, Liaquat University of Medical
and Health Sciences Hyderabad, for a period of 15 months from January 2007 to March 2008. Patients & Methods: Among all the
antenatal patients delivered during the period under review, those suffering from Placental abruption were entered into this study by
completing a proforma for each patient. After history, examination and initial management, investigations were carried out. These patients
were managed on case to case basis depending on the progression of abruption and delivery. After delivery whether spontaneous or by
cesarean section the condition of mother and subsequent complications were recorded and results analyzed on SPSS version 10.
Results: During the period 15 months, 2760 patients were admitted to labour room /labour ward and delivered. Among these, 100
patients had abruption making an incidence of 2.89% per year. According to the degree of abruption 33 had mild, 50 had moderate and 17
had severe abruption. 42% had spontaneous vaginal delivery, and 52% underwent cesarean section. 36% of Abruptio patients, developed
complications like shock, PPH and DIC. One (1%) patient died in severe abruption. Conclusions: The incidence of Abruptio Placentae in
this study is comparable to local studies and studies from developing countries, but is high in comparison to studies from developed
countries. The maternal morbidity and mortality rate is not as high as in other studies.