Placental Abruption: An Obstetricians Nightmare – A Study of Risk Factors and Maternofoetal Outcomes at Two Tertiary Care Teaching Hospitals in South India

Authors

  • Mohammed Ismail Khan ESIC Medical College & Hospital, Sanathnagar, Hyderabad, India
  • KS Saraswathi Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Peerancheru, Hyderabad, India
  • R Shyamala Malla Reddy Medical College for Women, Qutbullapur, Hyderabad, India
  • Ibrahim Azam Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Peerancheru, Hyderabad, India
  • MK Salman Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Peerancheru, Hyderabad, India
  • Syeda Sakina Amtul Ali Deccan College of Medical Sciences, Kanchan Bagh, Hyderabad, India

DOI:

https://doi.org/10.21276/apjhs.2017.4.1.34

Keywords:

Abruptio Placenta, Associated risk factors, Materal-fetal outcomes, Mode of delivery

Abstract

Background: Abruptio placenta is a dire obstetric emergency with potentially life threatening consequences to the mother and the baby. Methods: A prospective observational study was conducted over a period of 30 months at two tertiary care medical college hospitals in Hyderabad with 274 patients with confirmed diagnosed of placental abruption. Data was collected from case sheets, questionnaires and interviewing after obtaining an informed consent. Results: The incidence of placental abruption was 1.52%. A higher incidence was noted in multiparous patients, women from lower socioeconomic status and lower BMI. Previous history of cesarean section and gestational hypertension, Polyhydramnios and PROM emerged as leading associated risk factors (25.54%, 24.8%, 14.96% and 11.31% respectively). 63.13% of patients had revealed and 36.86% had concealed haemorrhage. Anaemia was the commonest maternal complication (57.66%) followed by hypovolaemic shock (25.18%) and PPH (23.72%). Maternal mortality was 11.67%. Perinatal mortality was 60.94% with 55.1% still births and 5.84% early neonatal deaths. Conclusions: Despite advances in obstetrics, placental abruption still remains an unpredictable and unpreventable disaster. An understanding of predisposing factors and maternofoetal outcomes will help us manage these cases with a foresight.

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Author Biographies

Mohammed Ismail Khan, ESIC Medical College & Hospital, Sanathnagar, Hyderabad, India

Department of Obstetrics and Gynaecology

KS Saraswathi, Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Peerancheru, Hyderabad, India

Department of Obstetrics and Gynaecology

R Shyamala, Malla Reddy Medical College for Women, Qutbullapur, Hyderabad, India

Department of Microbiology

Ibrahim Azam, Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Peerancheru, Hyderabad, India

Department of Obstetrics and Gynaecology

MK Salman, Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Peerancheru, Hyderabad, India

Department of Obstetrics and Gynaecology

Syeda Sakina Amtul Ali, Deccan College of Medical Sciences, Kanchan Bagh, Hyderabad, India

Department of Obstetrics and Gynaecology

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Published

2017-03-30

How to Cite

Mohammed Ismail Khan, KS Saraswathi, R Shyamala, Ibrahim Azam, MK Salman, & Syeda Sakina Amtul Ali. (2017). Placental Abruption: An Obstetricians Nightmare – A Study of Risk Factors and Maternofoetal Outcomes at Two Tertiary Care Teaching Hospitals in South India. Asian Pacific Journal of Health Sciences, 4(1), 220–230. https://doi.org/10.21276/apjhs.2017.4.1.34