Risk factors and outcomes of placental abruption: Evaluation of 53 cases

Abstract

Aim: The aim of this study was to evaluate the risk factors and maternal-perinatal outcomes in patients with placental abruption attending a non-tertiary center. Methods: Fifty-three patients with placental abruption and 147 individuals with non-placental abruption were compared retrospectively. Age, gravidity, parity, concomitant medical problems (preeclampsia, hypertension, and diabetes), previous history of cesarean section and presence of proteinuria were compared between the groups. Multiple regression analysis was performed to determine risk factors for placental abruption. A p value of less than 0.05 was considered statistically significant. Results: The incidence of preterm delivery, need for intensive care unit for the newborn, peripartum mortality and low Apgar score was higher in the group with placental abruption (p<0.05). The incidence of preeclampsia, longer length of hospital stay, complications (especially disseminate intravascular coagulation), proteinuria and blood product transfusion was higher in the placental abruption group (p<0.05). Previous cesarean delivery, preeclampsia, concomitant medical problems and proteinuria were the risk factors for placental abruption (p<0.05). Conclusion: Pregnancy-related hypertensive disorders and previous cesarean section increase the risk of placental abruption. Placental abruption is associated with serious maternal and perinatal morbidity.