A study on maternal and perinatal outcome of abruptio placentae in a tertiary centre
Shaidul Islam Borah, Panchanan Das, Bhaswati Hazarika
Objective: The study was aimed to find out the incidence, obstetric risk factors, and various complications of abruptio placentae and to analyze the maternal and perinatal outcome of the same. Materials and Methods: It was a hospital based observational study for a period of one year carried out from 1st June 2012 to 31st May 2013. Study population included all pregnancy cases of gestational age of 28 weeks onwards having sign and symptoms of abruptio placentae. Results: Out of 15111 deliveries there were 70 cases of abruptio placentae. The incidence of abruptio placentae was found to be 0.46%. Associated risk factors were anaemia (51.4%), gestational hypertension (37.1%), previous caesarean section (28.6%), polyhydramnios, oligohydramnios etc. Vaginal delivery and caesarean section rates were 58.57% and 41.43% respectively. Eighty percent (80%) babies required NICU and 40% had early neonatal death. Conclusion: Maternal and fetal complications can be minimized provided patients report in time, so that prompt, judicious and definite measures can be undertaken expeditiously and correct treatment instituted.