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Indian Journal of Obstetrics and Gynecology

Volume  8, Issue 4, October-December 2020, Pages 233-235
 

Original Article

Abruptio Placenta: A Study on Maternal and Perinatal Outcome at Teaching Hospital

Latha B1, Manchuru Aruna2

1Associate Professor, 2Senior Resident, Department of Obstetrics and Gynecology, Jagadguru Jayadeva Murugarajendra Medical College, Davangere, Karnataka 577004, India.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8420.6

Abstract

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the foetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. The study was aimed to find out the incidence, obstetric risk factors, and various complications of abruptio placenta and to analyze the maternal and perinatal outcome of the same. Materials and Methods: The retrospective observational study was carried out in the obstetric department in CG hospital attached to JJM medical college, Davangere between October 2017 and September 2018. Results: Out of 9800 deliveries there were 64 cases of abruptio placentae. The incidence of Abruptio placentae was found to be 0.65%. Associated risk factors were preeclampsia (45%), previous caesarean section (18.6%). PPH occurred in 13(20%) of patients.22 (34%) of patients required blood transfusion. Eighty five percent (85%) babies required NICU and 54% had early neonatal death. Conclusion: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.


Keywords : Abruptio placenta;. Antepartum haemorrhage
Corresponding Author : Manchuru Aruna