Open AccessPredictors of foeto-maternal outcome of patients with abruptio placenta at Bugando Medical Centre, Tanzania
Author(s) -
Dismas Matovelo,
Kelvin Nandonde,
Anthony Massinde,
Richard Rumanyika
Publication year - 2015
Publication title -
tanzania journal of health research/tanzania journal of health research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.201
H-Index - 25
eISSN - 1821-6404
pISSN - 1821-9241
DOI - 10.4314/thrb.v18i1.3
Subject(s) - medicine , obstetrics , caesarean section , incidence (geometry) , fetal distress , pregnancy , vaginal delivery , gynecology , low birth weight , tanzania , birth weight , fetus , genetics , physics , environmental science , environmental planning , optics , biology
Background: Abruptio placenta (AP) is one of the life-threatening obstetric complications for both the foetus and mother. We conducted this study to determine the incidence and predictors of adverse outcomes of abruptio placenta at Bugando Medical Centre (BMC) in northwest Tanzania.Methods: This descriptive cross-sectional study was conducted from October 2012 to April 2013. Women with clinical features of abruptio placenta attending BMC were recruited. Data were collected using a structured checklist and analysed with STATA 11.Results: A total of 3,800 deliveries occurred during study period. The incidence of AP was 2.5% (95/3800). Among patients with AP, 49 (51.6%) delivered by Caesarean section. Three (3.2%) maternal deaths occurred. These deaths were strongly associated with the presence of maternal anaemia (p 700ml) (p<0.001).Conclusion: The incidence of AP at BMC is high and characterised by poor maternal and foetal outcomes. Patients with AP should be delivered promptly to improve their survival.