Fetal Outcome varies with different grades of Placental Abruption

Abstract

This is a prospective study carried out in Gynae unit-1 of Sir Ganga Ram Hospital, Lahore over a time period of one year. We aimed to find out the prevalence of abruptio placenta in the hospital population and compare the fetal outcome with different grades of placental abruption. Student t test was applied to assess the degree of significance. P value < 0.05 was considered as significant. Complications observed were intrauterine death (IUD), Intrauterine growth retardation (IUGR), Prematurity and fetal anemia. Placental abruption accounted for 2% of hospital obstetrical population. Adverse fetal outcome was observed with Grade 3-4 abruption as compared to abruption of Grade 0-1. Statistically significant numbers of fetuses had no complication with Grade 0-1 abruption and were delivered in good condition (table-1). We concluded that a more aggressive approach is required to manage abruption of Grade 3-4 and observational strategy should be considered for Grade 0-1.