Objective
To determine the effects of placental abruption on the mode of delivery, whether vaginal or abdominal, primary PPH and baby’s weight.
Patients and Methods
This descriptive studyincluded 25 pregnant patients with APH whose clinical diagnosis was placental abruption. Placenta was examined after delivery and labeled as less than 50 % abruption, or more than 50%. Mode of delivery, occurence of primary PPH and weight of baby were recorded. All patient were followed till time of discharge.
Results
Out of 25 women, vaginal delivery occured in 64% and abdominal delivery in 36%. Primary PPH occured in 32%, and 28% babies had weight below 2.5kg. But 16% babies had early neonatal death (ENND). No maternal mortality occured.
Conclusion
Placental abruption had a profound impact on both maternal and perinatal complication including DIC, couvelaire uterus, severe birth asphyxia and perinatal death. (Rawal Med J 2011;36:57-59).
Key words: Placental abruption, ante partum hemorrhage (APH), primary post partum hemorrhage (PPH), early neonatal death (ENND).
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