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Abruptio Placentae and Perinatal Outcome

Uma Pandey, 6 FF Kabir Colony, Banaras Hindu University, Varanasi, U.P., India-221005. , Uma Pandey* , Anamika Rai** , Vrinda Khemani** , Jyotsana Pandey**

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Indian Journal of Obstetrics and Gynecology 5(3):p 363-366, Jul-Sep 2017. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.7

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Abstract

Introduction: Acute cases of Abruptio Placentae results in intrauterine death and stillborn baby, while chronic abruption results in intrauterine growth restriction, low birth weight and preterm labour and perinatal death. Less attention has been paid on the study onplacental separation and perinatal outcome along with preterm labor among the cases coming to referral hospital like Banaras Hindu university in which placental separation and perinatal outcome along with preterm labor has been studied. We studied how many extremely preterm, very preterm and moderate to late preterm deliveries were there in mothers with abruption. Material & Methods: The study took place in Sir Sunder Lal Hospital, Banaras Hindu University, Varanasi, North India. Singleton pregnancies who were diagnosed as having placental abruption clinically based on clinical features and confirmed, were taken in this study. Results: Study period was June 2015-July 2016. Incidence of abruption was found to be higher among illiterate women (p value 0.006, Chi Square value 10.11). Socioeconomic status and stillbirth tablealso showed incidence higher among lower socioeconomic status group (p value 0.007, Chi Square 7.18). Conclusions: Our study indicates that babies born to mothers with abruption placentae were preterm and had poor outcome. Most of the time it is due to premature delivery. In clinical situations there should be low threshold for diagnosis of placental abruption, more so in cases of unexplained vaginal bleeding or preterm labour.

 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5317.7

Keywords

Abruptio Placentae; Revealed Haemorrhage; Concealed Haemorrhage; Preterm Labour; Stillbirth. 

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