Study Of Maternal And Perinatal Outcome In Patients With Abruption Placenta

Abstract

Background: Abruption placenta is one of a serious obstetrics emergency. It is defined as partial or complete separation of normally implanted placenta after 28 weeks of gestation, prior to delivery of the fetus. Placental abruption complicates about 1% of pregnancies and is a leading cause of vaginal bleeding in the latter half of pregnancy.1 AIMS: To study maternal outcome in patients with abruption placenta. To study perinatal out come in patients with abruption placenta. Material And Methods: A prospective observational study was carried out at tertiary hospital for 6 months from September 2019 to February 2020. 30 cases of abruption placenta were enrolled in this study. Results: Maximum patients (56.6%) were from 26 – 30 year age group. (63.3%) were having second gravida. Maximum (56.6%) patients admitted were between 33 – 36 week gestational age group. Most of (60%) patients were having revealed type of bleeding. (52.3%) patients were having grade 2. Major maternal morbidities were PPH (36.6%), severe shock (23.3%) and DIC (6.6). (26.6%) babies had birth asphyxia, (16.6%) developed ARDS. Sepsis and ICH was seen in (10%) each whereas necrotizing enterocolitis and stillbirth was found in (13.3%). Perinatal death was seen in (6.6%). Conclusion: Abruption placenta is associated with poor maternal and fetal outcome. Early diagnosis and prompt resuscitative measures are essential to prevent both perinal and maternal morbidity and mortality. [Bariya E Natl J Integr Res Med, 2020; 12(1):17-21]