Abstract
MATERNAL AND FETAL OUTCOME IN ABRUPTIO PLACENTAE AT NSCB MEDICAL COLLEGE HOSPITALJABALPUR, INDIA

Singh AG*, Ghanghoriya V and Chauhan R

ABSTRACT

Background: Abruptio Placenta is a major cause of maternal and perinatal morbidity and mortality globally and is a serious concern in the developing world. A likely diagnosis and effective interventions are required to improve maternal and fetal outcome. Aim and objectives: To evaluate fetal and maternal outcome in women presenting with Abruptio Placentae at our setup. Material and Methods: The study was carried out in the Department of Obstetrics and Gynaecology NSCB Medical College Hospital Jabalpur from June 2011 to November 2012. All women presenting with antepartum haemorrhage at 28 weeks or more with diagnosed Abruptio Placentae formed the study population. Results: Total 51 cases(1.01% ) of Abruptio placentae were registered during study period. Majority of women were in the age group 20-25 years and were multiparous. Most common risk factor was hypertension. Commonest type was mixed variety in 27(52.9%) Vaginal delivery was commonest mode of delivery in 40(78.3%). Maternal complications were postpartum haemorrhage(4), disseminated intravascular coagulation(2) and renal failure(1). There was 1(1.96%) maternal and 35(68.3%) perinatal mortality. Conclusion: Abruptio Placentae is associated with high rate of maternal and fetal morbidity and mortality. Despite advances in medical technology the diagnosis of abruption is still clinical based. Strengthening antenatal care, critical evaluation of high risk factors and effective and timely interventions will help in reducing incidence of AP thereby producing better pregancny outcome.

Keywords: Abruptio Placentae, Maternal Fetal outcome, Retro placental Clot.


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