Frequency of adverse feto-maternal outcomes in patient with placental abruption.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Pakistan Journal of Medical Sciences Pub Date : 2026-01-01 DOI:10.12669/pjms.42.1.12261

Uzma Kausar, Saima Khattak

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引用次数: 0

Abstract

Objective: This study aimed to determine the frequency of adverse feto-maternal outcomes in patients with placental abruption.

Methodology: This descriptive case series was a study carried out in the Department of Obstetrics and Gynecology, Lady Reading Hospital, Peshawar between January 26, 2022 and July 26, 2022. The sample size of the study was 136 patients who had placental abruption, who were aged between 18 and 40 years, and were more than 24 weeks of gestation and any parity. The feto-maternal outcomes of these patients were compared.

Results: The mean age of the participants was 27.65 ± 6.27 years. The adverse maternal outcomes were acute tubular necrosis (8.8%), disseminated intravascular coagulation (19.1%), postpartum hemorrhage (27.9%), and maternal admission to ICU was detected in 7 (5.1%) patients. The maternal age was significant as associated with DIC (p < 0.05). Adverse fetal outcomes included intrauterine fetal death in 6 (4.4%), preterm birth in 30 (22.1%), low APGAR score in 33 (24.3%), stillbirth in 28 (20.6%), and admission to NICU in 29 (21.3%). The maternal demographic variables were significantly related to preterm birth (p = 0.03) and stillbirth (p < 0.05).

Conclusion: Our study identified the frequency of adverse fetal and maternal outcomes in patients with placental abruption. The fetal outcomes were intrauterine fetal death, pre-term births, low APGAR score, and stillbirth. The acute tubular necrosis, disseminated intravascular coagulation and postpartum hemorrhage were maternal outcomes.

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胎盘早剥患者不良胎母结局的发生率。

目的：本研究旨在确定胎盘早剥患者不良胎母结局的频率。方法：该描述性病例系列研究于2022年1月26日至2022年7月26日在白沙瓦雷丁夫人医院妇产科进行。该研究的样本量为136例胎盘早剥患者，年龄在18至40岁之间，妊娠和任何胎次超过24周。比较这些患者的胎母结局。结果：参与者平均年龄27.65±6.27岁。产妇不良结局为急性肾小管坏死（8.8%）、弥散性血管内凝血（19.1%）、产后出血（27.9%），7例（5.1%）产妇入院。产妇年龄与DIC有显著相关性（p < 0.05）。不良胎儿结局包括宫内死胎6例（4.4%），早产30例（22.1%），低APGAR评分33例（24.3%），死胎28例（20.6%），入住新生儿重症监护病房29例（21.3%）。产妇人口学变量与早产（p = 0.03）和死产（p < 0.05）显著相关。结论：我们的研究确定了胎盘早剥患者不良胎儿和母体结局的频率。胎儿结局为宫内死胎、早产、低APGAR评分和死胎。急性小管坏死、弥漫性血管内凝血和产后出血是产妇的结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pakistan Journal of Medical Sciences 医学-医学：内科

CiteScore

4.10

自引率

9.10%

发文量

363

审稿时长

3-6 weeks

期刊介绍： It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.