Abruptio placenta and pregnancy outcome at Al-Sadka teaching hospital, Aden, Yemen

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ID: 311201
2023
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Abstract
Background: Placental abruption is a serious obstetric complication with many potential adverse outcomes for both mother and fetus. The aim of this study was to determine the clinical characteristics, risk factors and maternal and perinatal consequences of placental abruption among pregnant women, at Al-Sadka Teaching Hospital. Methods: This was a prospective descriptive study including women with placental abruption, who delivered at Al-Sadka University Hospital, Aden, Yemen, during the period from August 1, 2015, to September 31, 2016. Statistical analysis of the data was performed with (SPSS version 24). Results: The frequency of placental abruption in this study was 0.84%. The majority of women with placental abruption were in the 20-25 age group (34.3%), multiparous (51.4%), had no antenatal care (51.4%). and illiterate (37.1%). The most common clinical presentation was vaginal bleeding (82.9%), followed by tetanic uterine contractions (68.6%). The most common risk factors associated with placental abruption were preeclampsia (34.5%) and PROM (21.8%). Most of our patients (77.1%) had a vaginal delivery, while the rest had a cesarean section delivery. The most common maternal complications were postpartum hemorrhage (100%) and hemorrhagic shock (27.5%). Perinatal death was more commonly associated with preeclampsia (55.0%), severe placental abruption (95%), and preterm birth (70%). On the other hand, perinatal death was reported in 28.6% of our patients (n=20). A higher percentage of fetuses born by caesarean section died (56.3%), while 79.6% of vaginal deliveries involved live fetuses. Conclusion: The frequency of placental abruption was 0.84%. ​​ Women with AP had a higher likelihood of being illiterate, between 20 and 25 years old, multipara, and receiving inadequate antenatal care. Accordingly, we recommend raising women's awareness of the importance of antenatal care through the media (television and radio) and creating policies to encourage high-quality routine prenatal care for all pregnant women by policymakers, particularly the Ministry of Public Health.
Reference Key
2026abruptio Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Rehab Ahmed Omer Bamhdi, Fatima Gamal-Aleil
Journal Yemen Journal of Medicine
Year 2023
DOI
10.32677/yjm.v2i2.4196
URL
Keywords Keywords not found

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