Study of Factors Associated with Abruptio Placenta and Maternal and Fetal Outcomes

This study of 80 cases of Abruptio Placenta in a year ( Jan 2014 to Dec 2014) is done at civil hospital, Ahmedabad. Study includes various risk factors and maternal and fetal outcome associated with the condition. Materials and methods-This is a retrospective study. The cases included were diagnosed on clinical manifestations and USG findings basis. Result- Incidence of Abruptio in year 2014 is 1.05 % in our study at civil hospital. Age group 20 to 30 years is most affected one. Most of cases i. e.60 cases (80 %) were multipara signifying multiparity as major risk factor.29 cases (36.25 %) had PIH with 23cases (28.75 %) having severe PIH.29cases (36.25 %) had vaginal delivery whereas 14 cases (17.5 %) underwent caesarean section.3cases (3.7 %) had jaundice, 2 cases (2.5 %) Diabetes with 6 cases (7.5 %) of Hydramnios and 4 cases (5 %) of PROM. In 30 cases ( 37.5 %) anemia was associated clinical finding of which 14 cases (17.5 %) had severe anemia. Retroplacental clot size 51-400cc observed in 48 cases (60 %). In 31cases (38.75 %) babies were of 34 weeks maturity out of 39 cases (48.75 %) live born. Out of the 80 cases 41 cases (51.25 %) had still born babies that suggests poor perinatal outcome. Of the 80 mothers 29 (36.25 %) developed DIC and 10 (12.5 %) PPH, making them major sequel complications of abruptio placenta and other being Renal failure 4 cases (5 %). Conclusion- Abruptio placenta remains a significant cause of perinatal morbidity and mortality and of serious concern in the developing world. Abruptio presents with poor prognosis as majority present with IUD Early detection and management of modifiable risk factors ( anemia, P. I. H and multiparity) for placenta abruption in developing countries may help to reduce the incidence of placenta abruption. All women at risk should be strictly followed up and proper antenatal care should be provided. Abruptio placenta Retroplacental clot, anemia, PIH.