EVALUATION OF RISK FACTORS FOR PRENATAL AND MATERNAL OUTCOME IN ABRUPTION OF PLACENTA IN AN OBSTETRICS AND GYNAECOLOGY DEPARTMENT AT RIMS, KADAPA

*Dr. T. Lakshmi Suseela, Dr. S. Jaya Jyothi, Dr. P. Rabbani and Dr.Chb. Jhonsi

ABSTRACT

Objective: To evaluate the risk factors and to find out the maternal and perinatal outcome in obstetric patients with abruption placenta. Study Design: Retrospective observational study. Materials and Methods: In present study from January 2013 to January 2015 with abruption placenta in 3rd trimester were included. A detailed history was obtained and maternal high risk factors were noted. Examination, investigation and detail of intrapartum, postpartum and associated complications were recorded. Results: Incidence of abruption placenta was 0.3% with commonest age group being 20 to 25 years .risk factors with anemia (67.3 %), pregnancy induced hypertension (76%), eclampsia (9%), chronic hypertension (3%), gestational diabetes (9%), polyhydramnios (5%), PROM (23%). Delivered vaginally (55.7%) and caesarean section (30.7%). Maternal complications were PPH (53.8%), DIC (5%), acute renal failure (7.6%), puerperal sepsis (11.5%) were noted. No maternal mortality was noted. 28.8 % women delivered live babies. 59.5% women came with intra uterine death. 13.4% were still born. Out of these term deliveries are 46.1% and pre term deliveries are 53.8%, in these live births, 9 died in early neonatal period due to prematurity. Conclusion: Placental abruption is an independent risk factor for perinatal mortality. Therefore, risk factors should be carefully evaluated to improve outcome.

Keywords: Abruptio Placenta, Maternal Outcome, Perinatal Outcome, Risk Factors.