Risk factors and maternal/fetal outcomes of pregnant women with abruptio placenta: a retrospective, descriptive study

Aim: Abruptio placenta is one of the most important causes of antepartum bleeding and is linked to the major (unpleasant) obstetrics consequences leading to the increased risks of fetal and maternal morbidity and mortality. The aim of our study is to establish a prevalence in our tertiary hospital and find out the fetal and maternal outcomes, along with the patient’s demographic characteristics and risk factors of abruptio placenta. Material and Method: This trial was carried out in Profesör Doktor Cemil Taşçıoğlu State Hospital, between January 2018 and March 2022. Patient data were extracted from computer system, and files were retrospectively evaluated. We established the fetal and maternal outcomes, along with the demographic characteristics and risk factors of abruptio placenta. All analysis was performed using SPSS software (Statistical Package for the Social Sciences, version 25.0, SPSS Inc., Chicago, IL, USA). Results: Within the review period there were 7126 deliveries. And 112 cases with abruptio placenta were seen out of the total deliveries. In our population, prevalence of the abruptio placenta was calculated as 1.5%. Because of the incomplete data in certain files, only a total of 102 cases (91%) were eligible for the study. Conclusion: In conclusion, since the abruptio placenta is highly associated with maternal and fetal morbidity and mortality, timely diagnosis is crucial to prevent devastating consequenuces.

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  • Fernandes J, Gopalakrishna N. Maternal and fetal outcome in abruptio placentae at a tertiary care centre: a retrospective analysis. Int J Reproduct Contracept Obstet Gynecol 2021; 10: 3860-3.
  • Ananth CV, Wilcox AJ. Placental abruption and perinatal mortality in the United States. Am J Epidemiol 2001; 153: 332‑7.
  • Janakiram P, Sellathamry SG, Ponnivalavan K. Maternal and perinatal outcome in abruptio placenta. J Evid Based Med Healthc 2017; 4: 3985‑8.
  • Khan S, Chughani G, Amir F, Bano K. Frequency of abruptio placenta in women with pregnancy-induced hypertension. Cureus 2022; 14: e21524.
  • Oyelese Y, Ananth CV. Placental abruption. Obstet Gynecol 2006; 108: 1005‑16.
  • Bibi S, Ghaffar S, Pir MA, Yousfani S. Risk factors and clinical outcome of placental abruption: a retrospective analysis. J Pak Med Assoc 2009; 59: 672‑4.
  • Shinde GR, Vaswani BP, Patange RP, Laddad MM, Bhosale RB. Diagnostic performance of ultrasonography for detection of abruption and its clinical correlation and maternal and foetal outcome. J Clin Diagn Res 2016; 10:4‑7.
  • Qiu Y, Wu L, Xiao Y, Zhang X. Clinical analysis and classification of placental abruption. J Matern Fetal Neonatal Med 2021; 34: 2952-6.
  • Bond AL, Edershim TG, Curry L, Druzin ML, Hotson JM. Expectant management of abruptio placentae before 35 weeks gestation. Am J Perinatol 1989; 6: 121‑3.
  • Anantt CV, Peltier MR, Kinzler WL, Smulian JC, Vintzileos AM. Chronic hypertension and risk of placental abruption: Is the association modified by ischemic placental disease? Am J Obstet Gynecol 2007; 197: 273.e1‑7.
  • Tikkanen M. Placental abruption: epidemiology, risk factors and consequences. Acta Obstet Gynecol Scand 2011; 90: 140‑9.
  • Arnold DL, Williams MA, Miller RS, Qui C, Sorensen TK. Iron deficiency anaemia, cigarette smoking and risk of abruptio placentae. J Obstet Gynaecol Res 2009; 35: 446‑52.
  • Abdella TN, Sibai BM, Hays JM Jr, Anderson GD. Relationship of hypertensive disease to abruptio placentae. Obstet Gynaecol 1984; 63: 365‑70.
  • Abasi IJ, Jeremiah I, Ekine AA. Risk factors and pregnancy outcome of placental abruption at the Niger Delta University Teaching Hospital, Okolobiri, South‑South Nigeria. Br J Med Med Res 2015; 5: 1000‑6.
  • American College of Obstetricians and Gynecologists; Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol 2013; 122: 1122–31.
  • Menon R, Fortunato SJ. Infection and the role of inflammation in preterm premature rupture of the membranes. Best Pract Res Clin Obstet Gynaecol 2007; 21: 467-78.
  • Pariente G, Wiznitzer A, Sergienko R, Mazor M, Holcberg G, Sheiner E. Placental abruption: critical analysis of risk factors and perinatal outcomes. J Matern Fetal Neonatal Med 2011; 24: 698-702.
  • Ananth CV, Oyelese Y, Yeo L, Pradhan A, Vintzileos AM. Placental abruption in the United States, 1979 through 2001: Temporal trends and potential determinants. Am J Obstet Gynecol 2005; 192: 191-8.
  • Rasmussen S, Irgens LM, Bergsjo P, Dalaker K. The occurrence of placental abruption in Norway 1967-1991. Acta Obstet Gynecol Scand 1999; 75: 222-8.
  • Hung TH, Hsieh CC, Hsu JJ, Lo LM, Chiu TH, Hsieh TT. Risk factors for placental abruption in an Asian population. Reprod Sci 2007; 14: 59-65.
  • Daffalah SE, Babikir HE. Risk factors predisposing to abruptio placentae. Maternal and fetal outcome. Saudi Med J 2004; 25: 1237‑40.
  • Musau H, Sagay AS, Ekwempu CC, Ibrahim SA. Analysis of some risk factors for abruptio placentae in Jos, Northern Nigeria. Trop J Obstet Gynaecol 2007; 24: 11‑4.
  • Takai IU, Sayyadi BM, Galadanci HS. Antepartum hemorrhage: a retrospective analysis from a Northern Nigerian Teaching Hospital. Int J Appl Basic Med Res 2017; 7: 112‑6.
  • Adalı E, Yıldızhan R, Kolusarı A, et al. Dekolman plasenta olgularının retrospektif değerlendirilmesi. Van Med J 2009; 16: 14–8.
  • Ulkumen BA, Pala HG, Calık E, Koyuncu FM. Ablasyo plasenta olgularının retrospektif olarak değerlendirilmesi. DEU Tıp Fakultesi Dergisi 2014; 28: 15–9.
  • Yılmaz M, İsaoğlu U, Delibaş İB, Uluğ P, İngec M, Al RA. Dekolman plasenta: epidemiyoloji, risk faktorlerinin analizi, fetal ve maternal sonuclar. Sakarya MJ 2013; 3: 126–30.
  • Cakmak BD, Turker UA, Dundar B, Yumru AE, The retrospective analysis of abruptio placenta cases in a tertiary center: risk factors and perinatal outcomes. Haydarpasa Numune Med J 2019; 59: 88–94
  • Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Obstetrical hemorrhage. In: Williams obstetrics. 23rd ed. New York: Mc Graw-Hill; 2010. p. 527-47.
  • ACOG educational bulletin. Obstetric aspects of trauma management. Number 251, September 1998 (replaces Number 151, January 1991, and Number 161, November 1991). American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet 1999; 64: 87–94.
  • Churchill D, Duley L, Thornton JG, Jones L. Interventionist versus expectant care for severe pre-eclampsia between 24 and 34 weeks’ gestation. The Cochrane Database of Systematic Reviews 2013; 7: CD003106.
  • Konje JC, Taylor DJ. Bleeding in late pregnancy. In: James DK, Steer PJ, Weiner CP, Gonik B (eds). High risk pregnancy, 3rd edn. Edinburgh, UK: WB Saunders: 2006.
  • Hall DR. Abruptio placentae and disseminated ıntravascular coagulopathy. In. Seminars in perinatology. WB Saunders, 2009; 33: p 189-95.
  • Hladky K, Yankowitz J, Hansen WF. Placental abruption. Obstet Gynecol Surv 2002; 57: 299–305.
  • Aliyu MH, Salihu HM, Lynch O, Alio AP, Marty PJ. Placental abruption, offspring sex, and birth outcomes in a large cohort of mothers. J Matern Fetal Neonatal Med 2012; 25: 248–52.