scholarly journals Retrospective Study of Risk Factors for Abruptio Placenta and Assessing Maternal and Fetal Outcome

2019 ◽  
Vol 02 (11) ◽  
pp. 293-297
Author(s):  
K. Sravani ◽  
K. Madhavi
Author(s):  
Kinjalben A. Savani ◽  
Kanaklata Nakum ◽  
Aditi Vithal

Background:  Abruptio placenta is the most common cause of antepartum haemorrhage which is defined as separation of normally situated placenta after 20 weeks of gestation and before birth of fetus. Obstetrical haemorrhage accounts for almost half of all postpartum deaths in developing countries.  Aim of study was to determine maternal and fetal outcome in pregnancy complicated by abruption. Methods: This was a retrospective study conducted at Gopinath maternity home, Sir T. Hospital, Bhavnagar. From MAY 2020 –APRIL 2021.all pregnant women came to labour room with diagnosis of abruptio placenta were included. Results: Total patients of abruption Identified Are 33 out of 2683 deliveries giving incidence of 1.1% In this study. Most of them are found at 26-35 years of age with 33-36 weeks of gestation. It is associated with multiparity in 57.5%. Vaginal bleeding is the most common presenting complain followed by absent fetal movement. 72.7% cases had association with preeclampsia. There is higher LSCS rates (61%) as compared to vaginal deliveries (39%). Most common complication found is DIC (30.3%) and next common is ARF (24.2%).  case fatality rate of 6.06%. In our study 60.6% still birth and 39.3% live birth. Many of them required NICU admission. Conclusion: Abruption is continued to be responsible cause of maternal and foetal adverse outcome. early detection and proper management prevents morbidity associated with it. Combined care is required for it. Keywords: Abruptio placenta, risk factors, feto-maternal outcome.


Author(s):  
Subha Sivagami Sengodan ◽  
Mohana Dhanapal

Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.Conclusions: 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.


Author(s):  
Dr. Ankita Metkari

Background: Objectives of the current study were to detect high-risk-risk-risk factors in pregnancy their presentations and to develop a simple scoring system to identify and categorize high-risk pregnancies and to predict the maternal and neonatal outcomes by comparing our results to previous studies. Methods: In this retrospective study, antepartum, intrapartum and neonatal parameters were integrated into the clinical records and the relationship of a risk score to the outcome was evaluated for 346 randomly selected pregnant patients over 7 months. Conclusions: The present study shows that we achieve comparative and better results in high-risk pregnancy, improving both maternal and fetal outcome at our institute.


Author(s):  
Shanthadevi Sambath ◽  
Vanitha Rukmani V. H. ◽  
Subalakshmi S.

Background: Placental abruption is the most common cause of antepartum haemorrhage. Incidence appears to be increasing due to increase in prevalence of risk factors like age, parity, anaemia, poor nutrition, Preeclampsia, PROM, previous MTP. Abruption may be partial or total. Pain and Vaginal bleeding hallmark of abruption.Methods: Retrospective observational study carried out during period of October 2017 to October 2018 at Govt Theni medical college- tertiary care institute. To investigate incidence, cause, maternal and perinatal outcome. Maternal Data includes incidence, age, parity, gestational age, risk factors, intra-operative events, amount of blood loss. Other causes of APH-Placenta praevia and extra-placental causes are excluded. Neonatal data includes Term/preterm, Birth weight, NICU admission, perinatal morbidity and mortality.Results: Total number of deliveries from October 2017 to September 2018 were 7010. Total number of abruptio placenta cases were 55. This study shows increased incidence of severe preeclampsia with abruption. Increasing age as predisposing factor. Mean age of abruption was 26-30 years mainly seen in term pregnancy. Mode of delivery varied. Major complication were PPH and shock managed with blood products.Conclusions: This study reveals increasing age, parity, severe preeclampsia are risk factors. Routine and regular antenatal checkup early detection and correction of Preeclampsia, anemia helps to deduce no of abruption and improving maternal and fetal outcome though maternal morbidity is reduced with modern management of abruption, Timely diagnosis and intervention is necessary. Team efforts by obstetricians, anesthetist and neonatologist is required for better maternal and fetal outcome.


2014 ◽  
Vol 5 (2) ◽  
pp. 425 ◽  
Author(s):  
Soma Mukherjee ◽  
AmarjeetKaur Bawa ◽  
Surbhi Sharma ◽  
YogeshwarS Nandanwar ◽  
Mohan Gadam

2019 ◽  
Author(s):  
Lloyd Sampa

BACKGROUND Anemia is a worldwide major problem known to affect people throughout the world. It has an adverse effect on both the social and economic development. The worldwide prevalence of anemia is 9% in developed nations. The global estimate indicates that 293.1 million of children under five years, approximately 43%, are anaemic worldwide and 28.5% of these children are found in sub Saharan Africa. In Zambia specifically Kasempa, no documented studies on prevalence have been done. Despite iron supplementation being given to pregnant women and the availability of blood transfusion. The burden of the disease remains high as determined by high mortality and morbidity. This study aims at determining the prevalence of anemia and the associated risk factors among under-five children at Mukinge Mission Hospital in Kasempa District. Knowledge of prevalence and the associated risk factors of anaemia will enhance early detection and timely management. OBJECTIVE 1.To determine the hemoglobin status of anaemia by its severity among anaemic under-five children admitted at Mukinge Mission Hospital. 2.To assess the association of anaemia with Malaria among under-five children admitted at Mukinge Mission Hospital. METHODS This was a retrospective study review of under-five children that were diagnosed and managed of Anemia at Mukinge Missions Hospital, over the period of period of 2015, 2017 and 2018. .Data of the variables of interest was extracted and analyzed using SPSS. RESULTS A sample population of 52 children was included in our study. The majority of the children were females 28 (53.8 %) and 24 (46.2 %) were Males. It was found that moderate and severe anaemia was 17.3% and 82.7 % respectively. Additionally, Majority of the anaemic children (75%) had Normocytic anaemia. The Pearson Chi square test revealed no statistical relationship between the variables; Malaria (p=0.58), Age (P=0.82), Gender (P=0.91). CONCLUSIONS According to our study, 39 (75%) had normal mean corpuscular volume which could suggest chronic diseases and sickle cell anemia. 11 (21.2%) had a low mean corpuscular volume indicating Microcytic anemia which could suggest diseases such as iron deficiency and thalassemia among many other causes. However, we were unable to determine the specific cause of anemia.


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