STUDY TO DETERMINE FETOMATERNAL OUTCOME IN PLACENTAL ABRUPTION COMPLICATED PREGNANCIES

Objective: The goal was to recognize associated risk factors with placental abruption and determine the effect of abruption on the fetal outcome. Study Design: An Observational Study. Place and Duration: In the Obstetric and Gynecology Department Unit II of Services Hospital Lahore for one year duration from March 2018 to March 2019. Methods: A proforma was formed to collect data from 110 patients with early abruptio placentae reported during the study period. Fifty five percent had pregnancy-related hypertension, 30% had anemia, 10% had polyhydramnios, 15 percent had multiple pregnancy, and 6% percent smoked. Seventy percent of patients required an urgent invention. The frequency of abruptio placentae was 1.1 percent. Results: Perinatal mortality was 500/1000. 35 percent of live children born with an insufficient Apgar score. Anemia was noted in Eight percent of the fetuses, neonatal jaundice in 12 percent and 15 percent had respiratory distress syndrome. Forty percent of patients were done by caesarean section. The caesarean hysterectomy was performed in 5 percent. Coagulopathy was present in 10 percent and postpartum hemorrhage in 25 percent. On the third day after birth, 35% of anemia was found. There were five deaths of mothers. Conclusion: Early placental abruption was considered a high-risk condition. Most predisposing risk factors can be prevented by decreasing incidence, increase patient education and better obstetric care. Early placental abruption was found to be associated with high mortality and morbidity. Risk factors for placental abruption can be prevented. Key words: premature placental abruption, detachment, fetus, motherhood, perinatal outcome, morbidity