Abruptio Placenta-Retrospective Study On Maternal And Foetal Outcome

Abstract

Background: It is a form of antepartum haemorrhage where the bleeding occurs due to separation of placenta partially or totally from its implantation site after 20 weeks of gestation before the delivery of feteus. It is one of the major causes of antepartum haemorrhage which complicates 3% of pregnancies. Aims And objective: Aim of study is to maternal and perinatal outcome of Abruptio placenta in Government Medical College Bhavnagar, Gujarat And To know incidence of Abruptio placenta.Material and Method: This is a retrospective study analysing the case sheets of abruptio placenta in Government Medical College Bhavnagar, Gujarat from June 2018-June 2019. As most of the patients were admitted as emergencies placental abruption was suspected based on clinical features of abdominal pain ,vaginal bleeding, uterine tenderness, hypertonic uterus and diagnosis was confirmed by retroplacental clots after delivery which was used to estimate the amount of bleeding and severity of abruption. Fetalwell being was assessed with ultrasonography and cardiotocography. Results: The total number of deliveries from June 2018 to June 2019 at Sir T hospital, Bhavnagar were 5947 deliveries , out of which 45 cases were found to be Abruption .The incidence of Abruption placenta was 0.7%. We found 48.38% of patients with severe preeclampsia, 6.6% patients with eclampsia, 11.1 % patients with chronic hypertension and 33.42% patients with normotensive. Conclusion: Antenatal care which identifie the risk factors like PIH plays an important role in decreasing incidence of abruptio placenta and improving maternal and fetal outcome. Regular antenatal check up , anaemia correction, early diagnosis and identification of gestational hypertension and pre eclamptiatoxemia would reduced the maternal and perinatal morbidity and mortality. [Badani N Natl J Integr Res Med, 2020; 11(1):62-65]