Obstetric Prognosis after Placental Abruption

• Published in: Fetal diagnosis and therapy Vol. 19; no. 4; pp. 336 - 341
• Main Authors: Toivonen, Sari, Heinonen, Seppo, Anttila, Maarit, Kosma, Veli-Matti, Saarikoski, Seppo
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland Karger 01.01.2004; S. Karger AG
• Subjects: Abruptio Placentae - diagnosis; Abruptio Placentae - epidemiology; Adult; Biological and medical sciences; Birth control; Chi-Square Distribution; Confidence Intervals; Cross-Sectional Studies; Female; Gynecology. Andrology. Obstetrics; Hormonal contraception; Humans; Logistic Models; Medical sciences; Multivariate Analysis; Odds Ratio; Pregnancy; Pregnancy Outcome - epidemiology; Prognosis; Retrospective Studies; Obstetric prognosis of placental abruption; Placental abruption; Placental abruption, recurrence rate; Pregnancy; Prenatal; Relapse; Prognosis; Abruptio placentae; Delivery; Diagnosis; Obstetrics
• ISSN: 1015-3837; 1421-9964
• DOI: 10.1159/000077962

Objective: To assess obstetric outcome in women with a history of placental abruption. Methods: We utilised the population-based birth registry data of Kuopio University Hospital to investigate pregnancy outcome in 59 women with prior placental abruption. The general obstetric population was used as a reference group in logistic regression analysis. Results: Recurrent placental abruption and associated adverse neonatal outcome occurred in 11.9% (7:59) of the women. If the disease did not recur, a history of placental abruption had no significant effects on birth weight, fetal distress or prematurity rate, whereas the incidence of pre-eclampsia was found to be increased. Conclusions: Women in whom placental abruption does not recur have a good outcome in their subsequent delivery, almost comparable to that in the general obstetric population. However, the recurrence rate of 11.9% is high (OR: 16.9, 95% CI: 8.2–34.9) when compared with the background incidence of placental abruption (0.7%).