Maternal and fetal outcome among abruptio placentae cases in a rural tertiary hospital in Maharashtra, India; A prospective observational study

Dr. Sushma Gore; Dr. Rohidas Chavan; Dr. Prakshal Shah

Volume : VIII, Issue : X, October - 2019

Maternal and fetal outcome among abruptio placentae cases in a rural tertiary hospital in Maharashtra, India; A prospective observational study

Dr. Sushma Gore, Dr. Rohidas Chavan, Dr. Prakshal Shah

Abstract :

Background: Placental auption complicates about 2-5% of pregnancies and is a leading cause of vaginal bleeding in the latter half of pregnancy. It is also an important cause of perinatal and maternal mortality and morbidity. The maternal effect of auption depends primarily on its severity, whereas its effect on the fetus is determined both by its severity and the gestational age at which it occurs. The Diagnosis was confirmed on the presence of retroplacental clot, which was used to estimate the amount of bleeding and severity of auption. Patients were managed according to the fetal and maternal conditions and ultrasonography. Methods: The study was carried out for a period of one year from 1st July 2018 to 30th June 2019. The study population included all cases of antepartum haemorrhage, confirmed as auption post delivery were included and other causes like placenta previa, other extraplacental causes were excluded in this study who came to the Department of Obstetrics and Gynecology during the study period. Subjects selected for the study were all cases diagnosed as having auptio placentae. Results: Total number of women admitted in labor ward between 1st July 2018 to 30th June 2019 were 8551. Among these 122 had auptio placentae. Majority of patients were in the age group 25-30 years. Incidence was higher in multi-parous. Spontaneous vaginal delivery was the mode in most patients (~69.6%). Major maternal complications seen were anaemia in 33(27%), shock in 18(14.7%), post partum haemorrhage in 10 (8.1%), altered coagulation profile in 4 (3.2%) of patients. 72.97% women delivered alive babies while 27.03% were stillborn. Conclusion: Resuscitation and termination is gold standard treatment for auptio placenta. Auptio placenta is associated with high rate of maternal and fetal morbidity and mortality, Because of this association, the conditions predisposing it should be carefully evaluated in order to reduce the occurrence of placental auption. Unfortunately neither accurate prediction nor prevention of auption is possible at the present time. Despite advances in medical technology, the diagnosis of auption is still a clinical one.