Abruptio placenta: a retrospective study on maternal and perinatal outcome

Subha Sivagami Sengodan, Mohana Dhanapal


Background: Abruptio placenta is separation of a normally situated placenta after 20 weeks of gestation and prior to the birth of the fetus. It is an important cause of antepartum haemorrhage and presents as an acute abdomen in the third trimester of pregnancy. Obstetrical haemorrhage is one of the triad (Haemorrhage hypertension and infection) of causes of maternal deaths in both developed and underdeveloped countries.

Methods: This is a retrospective study of Abruptio Placenta cases carried out between January 2015 and December 2015 at Government Mohan Kumaramangalam Medical College Hospital, Salem and about its perinatal and maternal outcome.

Results: Incidence of Abruptio placenta is 0.5%. It is most common in the women of age group 26-30yrs. 67% of cases were associated with severe pre-eclampsia. Live births were 69.8% while stillbirths were 30.2%. PPH occurred in 19.6% of cases. DIC accounts for 16.7% of the complication.

Conclusions: Abruptio placenta is associated with poor maternal and fetal outcome. Hence early diagnosis and prompt resuscitative measures would prevent both perinatal and maternal mortality and morbidity.


Abruptio Placenta, Maternal Outcome, Perinatal Outcome

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Konje JC, Taylor DJ. Bleeding in later pregnancy. In: James DK, Steer PJ, Weiner CP, Gonik B editors. High risk pregnancy 3rd ed. Philadelphia: Pennsylvania; 2006. 1266-71.

Pitaphrom A, Sukcharoen N. Pregnancy outcomes in placental abruption. J Med Oncolassoc Thai. 2006; 1572-8.

Ananth CV, Lavery JA, Vintzileos AM. Severe Placental Abruption:Clinical definition and associations with maternal complications. Am J Obstet Gynaecol. 2016;214;272.e1-9

Kyrklund-Bloomberg BN, Gennser G, Cnattinguis S. Placental abruption and perinatal death. Paediatr Perinat Epidemiol. 2001;15:290-7.

Willium A, Lieberman E, Mittendorf R. Risk factors of abruption placentae. A J of Epidemiol. 1991; 134(9):965-72.

Menom MK, Sokshi SK. Accidental haemorrhage in teaching hospital. J Obstet Gynaecol Ind. 1961; 11:335-41.

Wasnik SN and Naiknaware SV. Antepartum Haemorrhage: Causes and its effects on Mother Child: An Evaluation. Obstetri Gynaecol Internat J. 2015;3(1):00072.

Bibi S, Ghaffer S, Pir MA, Yousfani S. Risk factors and clinical outcome in placental abruption: a retrospective analysis J Pak Medic Associat. 2009:59(10):672-4.

Talpur NN, Memon SR, Jamro B, Korejo R. Maternal and fetal morbidity with abruptio placentae. Rawal Med J. 2011;36(4):297-300.

Sher G. Pathogenesis and management of uterine inertia complicating abruptio placentae with consumption coagulopathy. Am J Obstet Gynecol. 1977;129:164-70.

Campbell S, Lee C. Disorders of placentation. In: Obstetrics by ten teacher 17th ed. Arnold London 2002.p.171-3.

Shrivastava V, Kotur P, Jauhari A. Maternal and Fetal outcome among Abruptio Placentae at a rural tertiary hospital in Karnataka, India: A Retrospective analysis. Int J Res Med Sci. 2014;2(4):1655-8.

Subramaniyan V, Pachamuthu U, Dhanapal M, Abruptio Placentae: A Retrospective Study. 2016;5:10.

Choudhary V. Rathi Somani S, Somani S. Evaluation of Risk factors and Obstetric and Perinatal Outcome in Abruptio Placentae. 2015;14(5):36-9.

Humayun S, Nahid F. Comparison of pregnancy outcome among placenta praevia and abruption, Ann King Edward Med Coll. 2005;11(1):58-9.

Pitaphrom A, Sukcharoen N. Pregnancy outcome in placental abruption. J Med Assoc Thai. 2006;89(10);1572-8.

Sheiner E, Shoham-Vardi I, Hadar, Hallak M. Incidence, obstetric risk factors and pregnancy outcome of preterm placental abruption: a retrospective analysis. J Matern Fetal Neonatal Med. 2002;11(1) :34-9.

Allred LS, Batton D. The effect of placental abruption on the short-term outcome of premature infants. Am J Perinatol. 2004:21(3):157-62.

Ananth CV, Getahun D, Peltier MR, Smulian JC. Placental abruption in term and preterm gestations: evidence for hetrogenicity in clinical pathways. Obstet Gynecol. 2006;107(4):785-92.