Rising Trend of Abruption Placenta in a Tertiary Care Centre: An Observational Study

Title: Rising Trend of Abruption Placenta in a Tertiary Care Centre: An Observational Study

Authors: Ruby Bhatia MBBS, MD FICOG, Parmjit Kaur MBBS, MD FICOG, Dr Santosh Kumari MBBS

DOI: https://dx.doi.org/10.18535/jmscr/v5i7.19

Abstract

Obstetrical haemorrhage along with hypertension and sepsis forms deadly triad as a direct cause of maternal mortality. Antepartum haemorrhage seen in 2-5% of all pregnancies. Placenta praevia and placental abruption remain the most common causes of Antepartum haemorrhage. Placental abruption occurs in about 0.5 percent or one in 200 pregnancies. Maternal complications of abruptio placentae include massive blood loss, disseminated intravascular coagulopathy, acute renal failure and less commonly maternal death. Perinatal mortality associated with abruption is as high as 60 percent. An observational study was conducted in high dependency unit of Obstetrics and Gynaecology at Govt Medical College and Rajindera Hospital,Patiala to study adverse maternal and fetal outcome and risk factors associated with abruptio Placentae.

Keywords: Antepartum haemorrhage, abruptio placentae, placenta praevia.

References

1. Cunningham, Leveno, Bloom, Spong, Dashe, Hoffman, Casey, Sheffield et al. Obstetrical Haemorhhage, Williams 24^th edition, Mc Graw Hill, 2014. chapter 41, page 780-827.

2. Lalonde A, Daviss BA, Acosta A et al: postpartum haemorrhage today ICM/FIGO initiative 2004-2006. Int J. Obstet Gynaecol 94:243; 2006

3. Caric V, Bhide A. Antepartum haemorrhage (chap 10). In : Arias F, Bhide A, Kaizad AS, Daftary DS. Arias’ Practical Guide to High Risk Pregnancy and Delivery, 4^th edition, Elsevier, India; 2014. chapter 10 page 151.

4. Brame RG, Harbert GM Jr, McGaughey HS, et al. Maternal risk in abruption. Obstet Gynecol1968;31:224–7.

5. Hibbard BM, Jeffcoate TNA. Abruptio placentae. Obstet Gynecol1966;27:155–67.

6. Williams MA, Lieberman E, Mittendorf R, et al. Risk factors for abruptio place-ntae. Am J Epidemiol1991;134:965–72.

7. Karegard M, Gennser G. Incidence and recurrence rate of abruptio placentae in Sweden. Obstet Gynecol1986;67:523–8.

8. Ananth CV, Savitz DA, Williams MA. Placental abruption and its association with hypertension and prolonged rupture of membranes: a methodologic review and meta-analysis. Obstet Gynecol1996;88:309–18

9. Cunningham GF, MacDonald PC, Gant NF, et al, eds. Chap 37. Obstetrical hemorrhage. In: Williams obstetrics. 19th ed. Norwalk, CT: Appleton & Lange, 1993:819–51.

10. Deering S.H Abruptio placentae. (Online) 2007 (Cited 2007 June 2). Available from URL: http://emedicine.medscape.com/article/252810-overview.

11. Dashe JS: Toward Consitent terminology of placental location. Semin perinatol 37 (5):375,2013.

12. Archana M, Sonal A.Study of Antepartum hemorrhage and its maternal and perinatal outcome. International Journal of Scientific and Research Publications, Volume 4, Issue 2, February 2014

13. Singhal, Nymphaea, S Nanda. Maternal And Perinatal Outcome In Antepartum Hemorrhage: A Study At A Tertiary Care Referral Institute. The Internet Journal of Gynecology and Obstetrics. 2007 Volume 9 Number 2.

14. Salihu HM, Bekan B,Aliyu M.H et al: perinatal mortality associated with abru-ptio placenta in singletons and multiples. Am. J Obstet Gynaecol 193:198;2005

15. Das B. Antepartum hemorrhage in three decades. J ObstetGynae India 1975,25:636-7.

16. Sibai BM. Diagnosis, controversies and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count. Obstet Gynecol 2004;103(5 pt 1):981-991.

17. Saadat M, Nejad SM, Habibi G, et al. Maternal and neonatal outcomes in women with preeclampsia. Taiwan J Obstet Gynecol 2007;46(3):255-259.

18. Rathore R, Butt NF, Iqbal A, et al. Complications and outcome of patients of preeclampsia and eclampsia presenting to medical wards of Mayo hospital Lahore. ANNALS 2010;16(1):17-19.

19. Lavanyakumari Sarella et al., Sch. J. App. Med. Sci., 2014; 2(5A):1555-1558

20. Pandey VP, Pandey M. Study of Antepartum Haemorrhage and its Maternal and Perinatal Outcome. Ann. Int. Med. Den. Res. 2016;2(1):384-89.

21. Arora R, Devi U, Majumdar R. Perinatal morbidity and mortality in antepartum hemorrhage. J Obstet Gynae India 2001;51(3):102-4.

22. Khosla A, Dahiya V, Sangwan K, Rathore S. Perinatal outcome in antepartum hemorrhage. J Obstet Gynae India 1989;9:71-3.

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