Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta
Background and objective: Abruptio placenta is a significant cause of antepartum hemorrhage associated with fetal and maternal morbidity and mortality. Our objective was to determine the maternal risk factors and subsequent fetal and maternal outcomes in women with abruption placenta. Methods: A...
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Kurdistan Higher Council Of Medical Specialties
2023-12-01
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| Series: | Advanced Medical Journal |
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| Online Access: | https://amj.khcms.edu.krd/index.php/main/article/view/304 |
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| author | Lilan Abdlkhaliq Abas Ariana Khalis Jawad |
| author_facet | Lilan Abdlkhaliq Abas Ariana Khalis Jawad |
| author_sort | Lilan Abdlkhaliq Abas |
| collection | DOAJ |
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Background and objective: Abruptio placenta is a significant cause of antepartum hemorrhage associated with fetal and maternal morbidity and mortality. Our objective was to determine the maternal risk factors and subsequent fetal and maternal outcomes in women with abruption placenta.
Methods: A cross-sectional study carried out at Maternity Teaching Hospital in Erbil city, Kurdistan Region, Iraq from 1st of August, 2020 until 1st of August, 2021. Sixty Women diagnosed with abruption placenta from 24 weeks of gestation and more were included. Maternal information was collected by a designed questionnaire to determine the risk factors associated with abruptio placentae and the mode of delivery with fetal and maternal outcomes.
Results: Sixty pregnant women with abruptio placentae were included in the study. The main risk factors for abruption placenta were previous cesarean section, gestational hypertension, preeclampsia and smoking. The rates of stillbirth and early neonatal death were 15% and 1.7% respectively. Newborns with low birth weight were 30%. Adverse maternal outcome for those delivered by emergency cesarean section was 22.7%, and (hysterectomy or other surgical procedures) was significantly high 22.7% among women aged ? 35 years. Perinatal mortality rate was significantly high when the delivery was with both emergency cs and vaginal delivery. The Fetal mortality was low 4.8% among neonates whose weight was 2.5 Kg and above, and it was high among neonates of less than 1 Kg 83.3%.
Conclusion: Abruptio placenta associated with adverse fetal and maternal outcomes. Previous Caesarian section, gestational hypertension, and smoking are the main risk factors.
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| format | Article |
| id | doaj-art-22f62a8d9b38463ca890d6db51063ebc |
| institution | OA Journals |
| issn | 2958-8979 2957-3580 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Kurdistan Higher Council Of Medical Specialties |
| record_format | Article |
| series | Advanced Medical Journal |
| spelling | doaj-art-22f62a8d9b38463ca890d6db51063ebc2025-08-20T02:17:33ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802023-12-018210.56056/amj.2023.216305Maternal Risk Factors and Perinatal Outcome in Women with Abruptio PlacentaLilan Abdlkhaliq Abas0Ariana Khalis Jawad 1MbChB, Maternity Teaching Hospital, Department of Obstetrics and Gynecology, Erbil, Kurdistan Region -Iraq.MbChB, FICMS, Kurdistan Higher Council of Medical Specialties, Department of Obstetrics and Gynecology, Erbil, Kurdistan Region-Iraq. Background and objective: Abruptio placenta is a significant cause of antepartum hemorrhage associated with fetal and maternal morbidity and mortality. Our objective was to determine the maternal risk factors and subsequent fetal and maternal outcomes in women with abruption placenta. Methods: A cross-sectional study carried out at Maternity Teaching Hospital in Erbil city, Kurdistan Region, Iraq from 1st of August, 2020 until 1st of August, 2021. Sixty Women diagnosed with abruption placenta from 24 weeks of gestation and more were included. Maternal information was collected by a designed questionnaire to determine the risk factors associated with abruptio placentae and the mode of delivery with fetal and maternal outcomes. Results: Sixty pregnant women with abruptio placentae were included in the study. The main risk factors for abruption placenta were previous cesarean section, gestational hypertension, preeclampsia and smoking. The rates of stillbirth and early neonatal death were 15% and 1.7% respectively. Newborns with low birth weight were 30%. Adverse maternal outcome for those delivered by emergency cesarean section was 22.7%, and (hysterectomy or other surgical procedures) was significantly high 22.7% among women aged ? 35 years. Perinatal mortality rate was significantly high when the delivery was with both emergency cs and vaginal delivery. The Fetal mortality was low 4.8% among neonates whose weight was 2.5 Kg and above, and it was high among neonates of less than 1 Kg 83.3%. Conclusion: Abruptio placenta associated with adverse fetal and maternal outcomes. Previous Caesarian section, gestational hypertension, and smoking are the main risk factors. https://amj.khcms.edu.krd/index.php/main/article/view/304Abruptio placentaAPGAR scoresEarly neonatal deathHysterectomyStillbirth |
| spellingShingle | Lilan Abdlkhaliq Abas Ariana Khalis Jawad Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta Advanced Medical Journal Abruptio placenta APGAR scores Early neonatal death Hysterectomy Stillbirth |
| title | Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta |
| title_full | Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta |
| title_fullStr | Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta |
| title_full_unstemmed | Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta |
| title_short | Maternal Risk Factors and Perinatal Outcome in Women with Abruptio Placenta |
| title_sort | maternal risk factors and perinatal outcome in women with abruptio placenta |
| topic | Abruptio placenta APGAR scores Early neonatal death Hysterectomy Stillbirth |
| url | https://amj.khcms.edu.krd/index.php/main/article/view/304 |
| work_keys_str_mv | AT lilanabdlkhaliqabas maternalriskfactorsandperinataloutcomeinwomenwithabruptioplacenta AT arianakhalisjawad maternalriskfactorsandperinataloutcomeinwomenwithabruptioplacenta |