Nithya, A (2012) Comparative study of maternal and perinatal outcome of abruptio placenta in normotensive and hypertensive patients. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
OBJECTIVE: The objective of this study was to compare the maternal and perinatal outcome of hypertensive and normotensive women experiencing abruptio placenta. Our hypothesis is that hypertensive woman have a less favourable maternal and perinatal outcome than do normotensive women. STUDY DESIGN: Women with the diagnosis of abruptio placenta delivered between January 2010 to June 2011, composed the study group (226 cases). Out of 226 cases 126 cases were normotensive women with abruption placenta and 100 cases were hypertensive women with abruption placenta. Maternal data were collected including maternal age, parity, gestational age at admission, socio economic status, antenatal visits, past history of placental abruption, current obstetric complications( like Chronic hypertension, pre eclampsia, prelabour rupture of membrane, polyhydramnios) mode of delivery, abruption grade, maternal complications including hypovolemic shock, DIC, renal failure. Neonatal outcome data were recorded including gestational age at devliery, birth weight, sex of the baby, apgar score at 1 minute and 5minute, live born or still birth, neonatal death. RESULTS: The incidence of abruption in this study is 1.2%, in normotensive patients it is0.75%, in hypertensive patients it is 5.23%. Hypertensive women were no more likely to be delivered before 37 weeks, have neonates weighing < 2500grams or to be delivered by LSCS. There is no difference in the grade of abruption, maternal complications like ARF,DIC , shock, maternal mortality between normotensive cases & hypertensive cases. The perinatal mortality is 66.8% ,the Perinatal mortality rate in normotensive patients was – 65.07%, Perinatal mortality rate in hypertensive patients was - 70%. CONCLUSION: In this present study hypertensive women experiences 7 fold increased incidence of abruption but the overall maternal and perinatal outcome was not significantly different from that of normotensive women experiencing abruptio placenta.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Abruption placenta, Hypertensive patients, Normotensive patients, Maternal morbidity & mortality, Fetal morbidity, mortality. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Sep 2020 16:55 |
| Last Modified: | 14 Sep 2020 16:55 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13136 |
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