Rubina Naurin, Shazia Javed, Rozina Naurin, Tayyaba Majeed, Zahid Mahmood.
Frequency of Risk Factors and Feto-Maternal Outcome in Cases Diagnosed as Abruptio-placentae.
Pak J Med Health Sci Jan ;12(3):1147-50.

Background: Abruptioplacenta ie separation of placenta before delivery of fetus, is an obstetric emergency and associated with high maternal and perinatal mortality and morbidity, so it is necessary to know about the risk factors and its effects in our population so that effective measures can be taken to avoid it. Aim : To determine the risk factors and feto-maternal outcome in cases diagnosed as abruptio-placentae Methodology: This retrospective case series was done at department Of Gynecology and Obstetrics Unit–II, BITH, Central Park Medical College, over one year period from May 2016 to May 2017. All 100 women presenting ator after 28th weeks of gestation, diagnosed as abruptioplacentae after excluding placenta previa, ruptured uterus, local causes of vaginal bleeding and unexplained vaginal bleeding both clinically and with the help of U/S Results: The mean age of patients was 27.67+/-5.411 years. There were 28(28.0%) booked and 76(76.0%) had no education. A total of 54% cases had anemia and (25%) females had thrombocytopenia. A total of 30(30%) cases were hypertensive and prolonged rupture of membrane was seen in 4(4%) cases. Previous history of Cesarean Section was reported by 18(18%) females while Polyhydramnios was diagnosed in 2(2.0%) cases. Conclusion: Most of the females were uneducated, unbooked, belonged to lower social class, hypertension was common among risk factors. A total of 94% cases had cesarean section and two patients needed cesarean hysterectomy for controlling PPH while one patient developed renal failure. Intrauterine fetal death and low birth weight was the highest among fetal poor outcome .

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