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Indian Journal of Obstetrics and Gynecology 8(2):p 29-33, April-June 2020. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8220.4
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A Study of Maternal Outcome in Abruptio Placenta in Pregnancy
Saral G. Bhatia , Heeralben Nareshbhai Mistry , Saral G. Bhatia
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Indian Journal of Obstetrics and Gynecology 8(2):p 29-33, April-June 2020. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8220.4
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Heeralben Nareshbhai Mistry, Saral G. Bhatia. A Study of Maternal Outcome in Abruptio Placenta in Pregnancy. Indian J Obstet Gynecol. 2020;8(2):29–33.
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Abstract
Objective: To study the demographic factors, etiological factors, maternal complications and maternal mortality in abruptio placenta in pregnancy. To study maternal morbidities and mortality associated with abruptio placenta in pregnancy. Materials and Methods: This was a prospective analytical study and we have enrolled 50 consecutive patients presenting in obstetric department of new civil hospital, Surat with clinical diagnosis of abruption placentae. A detailed history of the patient was taken regarding identification, age, address, occupation, socio economic status, amenorrhea, fetal movements and history of trauma, history suggestive of hypertensive disorders, previous medical disorders and outcome of previous pregnancy. After that, thorough clinical examination & ultra sound was performed for confirmation of clinical diagnosis. Patient were managed according to “standard
department protocol” Result: Highest incidence was found among the maternal age of 20–30 years. The majority of cases were in multipara (70%). The majority of the patients in my study were in lower class (48%) and upper lower class (28%). In the present study 60% of them were unbooked cases probably because of low socio economic condition. Among etiological factors, most common factor found in my study was hypertension which was present in 84%. among maternal complications, postpartum hemorrhage and coagulation failure, were most common present in 16% of patients. 12% patients having a shock and 8% patients having a acute renal failure. Most of the patients recovered after proper medical intervention. There were 2 maternal mortality in my study (4%). Conclusion: By improving socio economic status, avoiding high parity by timely sterilization, anticipation of abruption in high risk cases, proper antenatal care, timely admission, prompt action at the time of occurrence, strict surveillance etc. Can go a long way in bringing better results in dealing with this grave condition. Early referrals from the peripheral institution would help to bring down the perinatal and maternal mortality.
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Heeralben Nareshbhai Mistry, Saral G. Bhatia. A Study of Maternal Outcome in Abruptio Placenta in Pregnancy. Indian J Obstet Gynecol. 2020;8(2):29–33.
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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8220.4
Keywords
Abruptio placenta; Maternal outcomeMaternal mortality.Search for Similar Articles
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