The Retrospective Analysis of Abruptio Placenta Cases In a Tertiary Center: Risk Factors and Perinatal Outcomes
Yazarlar (4)
Burcu Dinçgez
Türkiye
Doç. Dr. Ülkü Ayşe TÜRKER ARAS Kafkas Üniversitesi, Türkiye
Betül Dündar Sağlık Bilimleri Üniversitesi, Türkiye
Ayşe Ender Yumru
İstanbul Okan Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale (Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale)
Dergi Adı Haydarpaşa Numune Medical Journal
Dergi ISSN 2630-5720
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce Basım Tarihi 01-2019
Kabul Tarihi – Yayınlanma Tarihi 01-01-2018
Cilt / Sayı / Sayfa 59 / 1 / 88–94 DOI 10.14744/hnhj.2018.04900
Makale Linki http://dx.doi.org/10.14744/hnhj.2018.04900
UAK Araştırma Alanları
Kadın Hastalıkları ve Doğum
Özet
Introduction: This study aimed to evaluate risk factors and pregnancy outcomes of abruption cases.Methods: A total of 91 abruption cases between January 2016 and April 2018 were included in this study. Demographicfindings, gestational age, sonographic and clinical findings, predisposing factors, laboratory parameters, birth weight, gender,Apgar scores, neonatal intensive care unit admission, and maternal complications were recorded.Results: The prevalence was 0.43%; and 65.9% were multiparous. Preterm birth was present in 70.3% of cases, hypertensionin 40.7%, intrauterine growth restriction in 15.4%, polyhydramnios in 5.5%, cigarette in 17.6%, premature membrane rupture/preterm delivery in 18.7%, non-vertex presentation in 12.1%, and trauma in 1.1%. The ratio of maternal death was 1.1%, oftransfusion 46.2%, of pulmonary edema 1.1%, of acute renal failure 9.9%, of hypovolemic shock 15.4%, and of disseminatedintravascular coagulation 13.2%. The mean gestational week was 33.9±4.32, and the mean birth weight was 2337.53±943.78g. Neonates were generally male. The Apgar score was ≤7 in 37.4% in first and 29.7% at fifth minutes; and first-minute Apgarscore was 0 in 18.7%. The neonatal intensive care unit admission rate was 29.7%.Discussion and Conclusion: Early diagnosis is crucial for abruption that is related with maternal and fetal mortality. It mustbe considered when pain and vaginal bleeding is present in third trimester and even sonography is normal. Since at leastone risk factor is present in cases, it is important to manage them to prevent complications.
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