Soma Mukherjee1, Amarjeet Kaur Bawa2, Surbhi Sharma3, Yogeshwar S Nandanwar2, Mohan Gadam1
1 Department of Obstetrics and Gynaecology, R. N. Cooper Municipal General Hospital, Vile Parle West, Mumbai, Maharashtra, India
2 Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College and Sion Hospital, Sion, Mumbai, Maharashtra, India
3 Department of Obstetrics and Gynaecology Mahatma Gandhi Memorial Medical College and Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India
Introduction: Abruptio placentae (AP) which is a major cause of maternal morbidity and perinatal mortality globally is of serious concern in the developing world. We retrospectively analyzed the AP cases and evaluated its impact on fetal and maternal outcomes. Materials and Methods: The present study was undertaken from September 2007-August 2009 at a tertiary care center attached to medical college; patients of AP were selected from all cases with minimum of 28 weeks of gestation, presenting with antepartum hemorrhage. Patients underwent complete obstetrical investigations and were managed according to maternal and fetal condition. Results: 4.4% incidence rate of AP was documented accounting for 318 cases during the study period. Most of cases were unbooked, with an average age of 34.5 years (range, 18-44) and nearly two-third of the patients were from lower socioeconomic class. Anemia was observed in 96% of patients, with 3.5 and 68% incidence of maternal and fetal mortality, respectively. Conclusion: We observed a higher than expected frequency of AP and neonatal mortality in our study population, which is of major concern. We envisage need for mass information regarding the importance of antenatal maternal care and improvement in nutritional status, which may reduce the frequency of maternal and fetal morbidity and mortality associated with AP.
Keywords: Abruptio placentae, antepartum hemorrhage, gestational hypertension, perinatal mortality