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Severe abruptio placentae — still unpreventable
Author(s) -
Rai L.,
Duvvi H.,
Rao U.R.,
Nalini V.
Publication year - 1989
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(89)90839-4
Subject(s) - medicine , placental abruption , obstetrics , maternal morbidity , perinatal mortality , blood transfusion , maternal death , fetus , pregnancy , intensive care medicine , population , surgery , environmental health , genetics , biology
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.