Study of Clinical Spectrum of Abruptio Placentae and its Management at a Tertiary Care Hospital

Introduction: Placental abruption contributes almost 30% of all cases of antepartum haemorrhage. Both mother and foetus are at huge risk of maternal and perinatal morbidity and mortality. Aims And Objectives: To study the maternal and perinatal outcome incases of abruptio placentae at a tertiary care Hospital. Methods: This was a prospective observational study carried out in cases of abruptio placentae during a 2 year study period. Results: In present study, total 200 cases of abruption were observed. Most common age group in present study was 21-25 years. Abruptio placentae was common in gestational age above 37 weeks. In present study, 53% were vaginal deliveries, 45 % were delivered by LSCS, 2% by instrumental deliveries. Most common indication for LSCS was foetal distress(62.22%). In majority of (70%) of cases abruption was mixed type. (59.5%) cases had grade 2 abruption. Postpartum haemorrhage occurred in 30% cases and haemorrhagic shock was observed in 20% cases.89.5% cases required packed RBC transfusion. There were 4 cases of maternal mortality.65%babies required NICU admission, 30% were still births. 10% cases of perinatal mortality were there. Conclusion: Placental abruption is unpredictable and non-preventable, but maternal and perinatal morbidity and mortality can be reduced by adequate antenatal care, early detection and monitoring of risk factors, timely management at tertiary care level