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RISK FACTORS AND PREGNANCY OUTCOME OF ABRUPTIO PLACENTA: A RETROSPECTIVE STUDY

Background:  Abruptio placenta is the most common cause of antepartum haemorrhage which is defined as separation of normally situated placenta after 20 weeks of gestation and before birth of fetus. Obstetrical haemorrhage accounts for almost half of all postpartum deaths in developing countries.  Aim of study was to determine maternal and fetal outcome in pregnancy complicated by abruption. 
Methods: This was a retrospective study conducted at Gopinath maternity home, Sir T. Hospital, Bhavnagar. From MAY 2020 –APRIL 2021.all pregnant women came to labour room with diagnosis of abruptio placenta were included. 
Results: Total patients of abruption Identified Are 33 out of 2683 deliveries giving incidence of 1.1% In this study. Most of them are found at 26-35 years of age with 33-36 weeks of gestation. It is associated with multiparity in 57.5%. Vaginal bleeding is the most common presenting complain followed by absent fetal movement. 72.7% cases had association with preeclampsia. There is higher LSCS rates (61%) as compared to vaginal deliveries (39%). Most common complication found is DIC (30.3%) and next common is ARF (24.2%).  case fatality rate of 6.06%. In our study 60.6% still birth and 39.3% live birth. Many of them required NICU admission. 
Conclusion: Abruption is continued to be responsible cause of maternal and foetal adverse outcome. early detection and proper management prevents morbidity associated with it. Combined care is required for it. 
Keywords: Abruptio placenta, risk factors, feto-maternal outcome.