Maternal and Fetal outcome in cases of Disseminated Intravascular Coagulation

Dr. TEJAL L. PATEL; Dr. AKASH R. PAREKH

Volume : VIII, Issue : VIII, August - 2019

Maternal and Fetal outcome in cases of Disseminated Intravascular Coagulation

Dr. Tejal L. Patel, Dr. Akash R. Parekh

Abstract :

BACKGROUND: At present time, obstetrical bleeding remains to be the world wide main cause of maternal mortality. Early identification of factors leading to haemorrhage and rapid management of underlying pathological process is the key stone of the treatment. Most important pregnancy related condition leading to bleeding with high mortality and morbidity is DIC. METHODS: The study was a retrospective study conducted in the Department of obstetrics and Gynaecology, civil hospital, ahmedabad between the period of Jan 18 to Jan 19. 70 patients who were diagnosed having DIC were included in the study. All the patients were studied retrospectively in terms of parity, mode of delivery, perinatal outcome, maternal ICU admission , need for blood and blood products , need for obstetric hysterectomy, need for dialysis, underlying cause and according to DIC SCORING SYSTEM into overt and non overt DIC and according maternal outcome. RESULT: Majority of patients were emergency cases i.e.72% because our institute is a tertiary care centre. Most of cases were multigravida and delivered vaginally. Major underlying causes were auption, septicaemia and PPH. Majority patients were anemic and required blood and blood products. 20% patients required ICU admission, 16% required hysterectomy and maternal mortality was 23% and perinatal and neonatal mortality was 38%. CONCLUSION: DIC is a major cause of maternal and perinatal mortality. So early recognition and investigation of antecedent causes and active management of DIC may help to lower this mortality as well as morbidity