Abstract
Objective: To determine the risk factors, fetal outcome and maternal outcome of placental abruption.
Study Design: Retrospective observational study
Place and Duration of Study: January 2017 to June 2018, Gynaecology Department, Bolan medical complex
Quetta.
Materials and Methods: During the study, 189 patients with placental abruption Data wes collected from
records of labor room, obstetrical ward and Neonatal Intensive Care Unit. All diagnosed placental abruption
cases were included in this study. The clinical data of the patients presented with placental abruption in our
facility was reviewed and the fetomaternal outcome was analyzed. Information collected from record included
demographics, parity, gestational age, HB% at arrival and risk factors for placental abruption. Data was analyzed
using MS Excel version 13 and results were presented as averages and percentages.
Results: During study period 189 cases of placental abruption were recorded. Grandmultiparity (94.17%) and
Anemia (83.59%) were identified as major risk factors for placental abruption. The frequency of PIH as a risk
factor for placental abruption was recorded in (8.9%) cases and history of trauma was noted in [2.6%] cases.
Maternal deaths were found to be (2.11%) and the women undergone surgical intervention were (15.87%) with
(14.28%) developed PPH. Only (28.57%) fetuses survived in this study population. Intrauterine death was
diagnosed at arrival in (60.84%) cases. Early neonatal deaths were recorded in (13.22%) cases.
Conclusion: Abruption is a frequent and major cause of maternal morbidity and perinatal mortality. Anemia
and grand multiparty are identified as major risk factors. The frequency of PIH and Trauma as a risk factor for
placenta abruption is found lower than expectation
Rakhshanda Mushtaq, Uzma Afridi, Fozia Muhammad Bakhsh. (2020) A Retrospective Analysis of Risk Factors and Fetomaternal Outcome of Placental Abruption, Journal of Islamic International Medical College, Volume-15, Issue-1.
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