ABSTRACT
Objective: To determine the Incidence of Placental Abruption and the morbidity / mortality associated with it
Design: Prospective and Observational case Study
Setting and Duration: Department of Obstetrics and Gynecology, Liaquat University of Medical and Health Sciences Hyderabad, for a period of 15 months from January 2007 to March 2008
Patients and Methods: Among all the antenatal patients delivered during the period under review, those suffering from Placental abruption were entered into this study by completing a proforma for each patient. After history, examination and initial management, investigations were carried out. These patients were managed on case to case basis depending on the progression of abruption and delivery. After delivery whether spontaneous or by cesarean section the condition of mother and subsequent complications were recorded and results analyzed on SPSS version 10
Results: During the period 15 months, 2760 patients were admitted to labour room /labour ward and delivered. Among these, 100 patients had abruption making an incidence of 2.89% per year. According to the degree of abruption 33 had mild, 50 had moderate and 17 had severe abruption. 42% had spontaneous vaginal delivery, and 52% underwent cesarean section. 36% of Abruptio patients, developed complications like shock, PPH and DIC. One [1%] patient died in severe abruption
Conclusions: The incidence of Abruptio Placentae in this study is comparable to local studies and studies from developing countries, but is high in comparison to studies from developed countries. The maternal morbidity and mortality rate is not as high as in other studies