Shaista Farooq, Razia Mustafa Abbasi, Naushaba Rizwan, Firdous Mumtaz.
Feto maternal outcome among Abruptio Placentae cases at a university hospital of Sindh.
J Liaquat Uni Med Health Sci Jan ;7(2):106-9.

OBJECTIVE: To determine fetomaternal outcome in women presenting with abruptio placentae at our setup. DESIGN: A descriptive study. SETTING: Department of Obstetrics and Gynecology Unit-II, Liaquat University Hospital Hyderabad, Sindh – Pakistan. Study was carried out from January to December 2007. METHODS: All patients presenting with antepartum hemorrhage due to abruptio placentae at any gestational age after 28 weeks to term were included in the study. Women having bleeding due to causes other than abruption like placenta previa, vasa previa, carcinoma cervix and other local lesions were excluded. All the data collected through history, examination and investigations were recorded on a predesigned proforma. Data were analyzed using SPSS version 10.0. RESULTS: Total number of cases admitted in labour ward was 2563. Forty-eight (1.87%) women had abruptio placentae. Maternal complications were postpartum hemorrhage (16.6%), disseminated intravascular coagulation (4.16%) and renal failure (6.25%). Maternal death occurred in 4 women (8.33%). Adverse fetal outcome was noted in severe cases of abruption. Still birth occurred in 41.6% cases. CONCLUSION: In our setup, frequency of abruptio placenta is comparable with local and international literature. Incidence of abruptio placenta is high in our women as most of the women belong to poor socio-economic class. Antenatal care plays an important role in decreasing the incidence of abruptio placenta.

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