Muhammad Saeed, Tabinda Rana.
Fetomaternal outcome in pregnancies complicated with placental abruption.
Pak J Med Health Sci Jan ;5(1):140-3.

It was an observational study on “Fetomaternal outcome in pregnancies complicated with abruptio placentae”. The objective was to identify the risk factors associated with abruption and to assess the impact of abruption on fetomaternal outcome. The study period was two years with effect from 01-11-2007 to 01-11-2009. It was conducted in Unit 111, Lady Willingdon hospital Lahore. A proforma was devised to collect data 100 patients of abruptio placentae presented in our study period. Fifty percent had pregnancy induced hypertension, twenty eight percent had anaemia, seven percent had polyhydramnios, ten percent had multiple pregnancy and five percent of the patients were smokers. 70 percent patients needed immediate invention. Prevalence of abruptio placentae was found to be 1.1percent. Perinatal mortality was 500/1000. 35 percent of live babies delivered with poor Apgar score. 8 percent of the fetuses had anaemia, 12 percent had neonatal jaundice, and 15 percent had respiratory distress syndrome.40 percent of the patients were delivered by caesarean section. 5 percent had caesarean hysterectomy. 10 percent had coagulopathy and 25 percent had postpartum haemorrhage. 35 percent were found to be anaemic on 3rd post partum day. There were five maternal deaths. It was discussed that abruptio placentae is a high risk situation. Majority of the predisposing risk factors are preventable. The outcome can be improved by reducing its incidence, patient education and by better obstetric care. It was concluded that abruptio placentae is associated with high morbidity and mortality. The risk factors associated with abruption are preventable.

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