Association of Risk Factors with Maternal Outcomes In Abruptio Placenta at Tertiary Care Hospital

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Date
2021-12
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Journal ISSN
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Publisher
Dr. Vithalrao Vikhe Patil Foundation Ahmednagar
Abstract
Introduction: Abruptio placenta is a serious condition that increases maternal and neonatal morbidity and mortality. The incidence of abruption placenta is between 0.49% -1.8%. Primary cause of abruption is not known but the main precipitating and predisposing factors of abruption are age, parity, anemia, poor nutrition, pregnancy induced hypertension, eclampsia, gestational diabetes mellitus, preterm premature rupture of membrane, and previous medical termination of pregnancy. Methodology:It is a retrospective observational study done by analyzing the case sheets of abruption placenta in tertiary care hospital from January 2020 to December 2020. All those patients of antepartum hemorrhage presenting directly as typical cases of abruption placenta were included. Also, those cases in which placenta previa and other causes were ruled out after clinical, per speculum examination and/or USG examination were ruled out. Result:The total number of abruption placenta collected during this period was 21. We found 38% patients with chronic hypertension, 33 % of patients with severe preeclampsia, 14% with eclampsia, 15% were normotensive. Advanced maternal age and multiparity were also the risk factors of abruption placenta. Conclusion: Antenatal care which identifies the risk factors like PIH plays an important role in decreasing the incidence of abruption placenta. Early detection and active management will reduce morbidity.
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Keywords
Abruptio placenta, Antepartum hemorrhage, Maternal outcome
Citation
Jain Dr. Disha, Patil Dr. Pradeep, Choudhary Dr. V. V.. Association of Risk Factors with Maternal Outcomes In Abruptio Placenta at Tertiary Care Hospital. VIMS Health Science Journal. 2021 Dec; 8(4): 133-135