Severe abruptio placentae — still unpreventable

• Published in: International journal of gynecology and obstetrics Vol. 29; no. 2; pp. 117 - 120
• Main Authors: Rai, L., Duvvi, H., Rao, U.R., Vaidehi, Nalini, V.
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.06.1989; Elsevier Science
• Subjects: Abruptio placentae; Abruptio Placentae - classification; Abruptio Placentae - complications; Abruptio Placentae - etiology; Antepartum hemorrhage; Biological and medical sciences; Diseases of mother, fetus and pregnancy; Female; Fetal Death - diagnosis; Fetal Death - epidemiology; Fetal Death - etiology; Fetal Monitoring; Gestational Age; Gynecology. Andrology. Obstetrics; Humans; Hypertension - complications; Male; Medical sciences; Parity; Perinatal mortality; Pregnancy; Pregnancy. Fetus. Placenta; Risk Factors; Tropical medicine; Perinatal mortality; Abruptio placentae; Antepartum hemorrhage; Human; Prognosis; Treatment; Pregnancy disorders; Mother; Asia; Mortality; Fetus; Hemorrhage; India
• ISSN: 0020-7292; 1879-3479
• DOI: 10.1016/0020-7292(89)90839-4

The management of abruptio placentae remains a problem, despite advances in medical science. This study analyses severity of abruption, resultant morbidity, and maternal and fetal mortality in 105 cases. Among the contributory factors, hypertension (44%) and grand multiparity (24%) were common. There was no maternal death among these cases, mainly because of liberal use of blood transfusion, prompt delivery, and careful fetal monitoring, but perinatal mortality remained high (73%). Factors responsible for this high perinatal mortality and its prevention are discussed.