Frequency of Abruptio Placenta in Women With Pregnancy-Induced Hypertension

Khan, Saba; Chughani, Geeta; Amir, Farheen; Bano, Khadija

doi:10.7759/cureus.21524

Cited by 6 publications

(8 citation statements)

References 25 publications

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“…Four cases (4%) were nulliparous, whereas 53 patients (51,9%) had parity of two or above. Median value with minimum and maximum values of patients' parities was and Asian populations (4,(17)(18)(19). The higher incidence of AP in our study may be due to the fact that our hospital is a tertiary referral public hospital with its high patient capacity.…”

Section: Resultsmentioning

confidence: 63%

“…The concealed type is considerably hazardous due to the blood loss level does not correspond with maternal heart rate and blood pressure and is concluded to have more fetal death in comparison to the revealed type as well (5). Predisposing factors for abruptio placenta comprise hypertensive disorders of pregnancy, multiparity, being under the age of 20, advanced maternal age which is above 35, formerly having abruptio placenta, uterine anomalies, multiple pregnancy, polyhydramnios, smoking, cocaine use, blunt abdominal trauma, retroplacental leiomyoma, premature rupture of membranes, thrombophilic disorders, and short umbilical cord (4). The clinical signs depend on the degree of placental detachment and bleeding amount.…”

Section: Introductionmentioning

confidence: 99%

“…The situation can be encountered in 0.5%-1% of pregnancies (2,3). It is one of the most important causes of antepartum bleeding and is linked to the major obstetrics consequences leading to the increased risks of fetal and maternal morbidity and mortality (4). Concealed or revealed types of hemorrhage may be seen in abruptio placenta.…”

Section: Introductionmentioning

confidence: 99%

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Risk factors and maternal/fetal outcomes of pregnant women with abruptio placenta: a retrospective, descriptive study

Aktürk¹,

EMEKLİOGLU>²,

CINGILLIOĞLU>³

et al. 2022

Journal of Health Sciences and Medicine

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Aim: Abruptio placenta is one of the most important causes of antepartum bleeding and is linked to the major (unpleasant) obstetrics consequences leading to the increased risks of fetal and maternal morbidity and mortality. The aim of our study is to establish a prevalence in our tertiary hospital and find out the fetal and maternal outcomes, along with the patient’s demographic characteristics and risk factors of abruptio placenta. Material and Method: This trial was carried out in Profesör Doktor Cemil Taşçıoğlu State Hospital, between January 2018 and March 2022. Patient data were extracted from computer system, and files were retrospectively evaluated. We established the fetal and maternal outcomes, along with the demographic characteristics and risk factors of abruptio placenta. All analysis was performed using SPSS software (Statistical Package for the Social Sciences, version 25.0, SPSS Inc., Chicago, IL, USA). Results: Within the review period there were 7126 deliveries. And 112 cases with abruptio placenta were seen out of the total deliveries. In our population, prevalence of the abruptio placenta was calculated as 1.5%. Because of the incomplete data in certain files, only a total of 102 cases (91%) were eligible for the study. Conclusion: In conclusion, since the abruptio placenta is highly associated with maternal and fetal morbidity and mortality, timely diagnosis is crucial to prevent devastating consequenuces.

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Section: Resultsmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk factors and maternal/fetal outcomes of pregnant women with abruptio placenta: a retrospective, descriptive study

Aktürk¹,

EMEKLİOGLU>²,

CINGILLIOĞLU>³

et al. 2022

Journal of Health Sciences and Medicine

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“…37 One recent study found a strong association between placental abruption and hypertension (defined as  140/90 mmHg) in pregnant women after 20 weeks gestation. 38 Our findings suggest that even mild BP elevations after 20 weeks gestation may severely impact maternal and neonatal morbidity and mortality. However, there is much unknown about the association between placental abruption and hypertension, as defined by the ACC/AHA, after 20 weeks gestation.…”

Section: Accepted Manuscriptmentioning

confidence: 67%

Pregnancy Outcomes in Women Who Developed Elevated Blood Pressure and Stage I Hypertension after 20 Weeks Gestation

Woolcock,

Parra,

Zhang

et al. 2024

Am J Perinatol

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OBJECTIVE: The American College of Obstetrics (ACOG) threshold for hypertension (≥140/90 mmHg) differs from those of the American College of Cardiology (ACC) and the American Heart Association (AHA). It is unknown if ACC/AHA hypertension levels are associated with adverse pregnancy outcomes (APOs) after 20 weeks gestation. The purpose of this study is to analyze APOs in women with blood pressure (BP) in the elevated or stage 1 range after 20 weeks gestation. STUDY DESIGN: This was a secondary analysis of the nuMoM2b prospective cohort study of 10,038 nulliparous, singleton pregnancies between 2010-2014. BP was measured at 3 visits during the pregnancy using a standard protocol. Women without medical comorbidities, with normal BP by ACC/AHA guidelines [systolic BP (SBP)<120 and diastolic BP (DBP)<80 mmHg] up to 22 weeks were included. Exposure was BP between 22-29 weeks gestation: normal (SBP<120 and DBP<80 mmHg), elevated (SBP 120-129 and DBP<80 mmHg), and stage 1 (SBP 130-139 or DBP 80-89 mmHg). The primary outcome was hypertensive disorder of pregnancy (HDP) at delivery. Secondary outcomes included fetal growth restriction (FGR), placental abruption, preterm delivery, and cesarean delivery. Multivariable-adjusted odds ratio (aORs) and 95% confidence intervals (CIs) were estimated using logistic regression models. RESULTS: Of 4,460 patients that met inclusion criteria, 3,832 (85.9%) had BP in the normal range, 408 (9.1%) in elevated, and 220 (4.9%) in stage 1 range between 22-29 weeks. The likelihood of HDP was significantly higher in women with elevated BP (aOR 1.71, 95%CI 1.18,2.48) and stage 1 BP (aOR 2.79, 95%CI 1.84,4.23) compared to normal BP (p<0.001). Stage 1 BP had twice odds of FGR (aOR 2.33, 95%CI 1.22,4.47) and elevated BP had three times odds of placental abruption (aOR 3.03; 95%CI 1.24,7.39). CONCLUSIONS: Elevated or stage 1 BP >20 weeks of pregnancy are associated with HDP, FGR, and placental abruption.

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“…11 In our study, 4/34 i.e 11.76 % women with hypertensive disorder of pregnancy had placental abruption where as Saba et al found it in 29.4% cases of hypertensive disorder of pregnancy. 19 Lower frequency of placental abruption in our hypertensive patients could be due to differences in social and demographic variables of the two study groups and better antenatal care services provided to our patients.…”

Section: Discussionmentioning

confidence: 83%

Maternal complications in women presenting with first trimester threatened miscarriage.

Saba

Iftikhar

Noonari

et al. 2022

TPMJ

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Objective: To determine the frequency of miscarriage, hypertensive disorder of pregnancy, placental abruption and preterm birth in women with first trimester threatened miscarriage. Study Design: Cross-sectional study. Setting: Department of Obstetric & Gynaecology, Sir Syed Hospital and Pakistan Naval Ship Shifa Hospital (Karachi). Period: April, 2021 to March, 2022. Material & Methods: Ninety two women 18-40 year old, diagnosed as threatened miscarriage at ≤ 13 weeks based on history, examination and ultrasound were included in the study after informed consent and followed till delivery. Women with genital infection, other form of miscarriage and multiple pregnancy were excluded. Data recorded from hospital documents. Maternal age, parity and Gestational age assessed. Miscarriage, hypertensive disorder of pregnancy, placental abruption, preterm birth and PPROM expressed as frequency and percentages. Logistic regression analysis performed. Chi square test (x2) used and P-value ≤ 0.05 taken as significant. Results: Mean age of women was 29.21±3.49 years. Mean parity was 2.65±1.15. Mean Gestational age at presentation was 7.96±1.78 weeks. 11.11%. (10/90) cases had miscarriage. 88.88% (80/90) women continued their pregnancy. 42.5% (34/80) had hypertensive disorder of pregnancy. 20% had pregnancy induced hypertension and 22.5% had pre-eclampsia. Preterm birth was seen in 26.3% (21/80). Frequency of PPROM and placental abruption was 6.3% (5/80) each. Women of 21-25 yr age were more at risk of hypertensive disorder of pregnancy than other age groups. There was no significant affect of maternal age and parity on preterm birth and placental abruption. Frequency of Preterm birth was 38.4% in women with hypertensive disorder, more than 2 times higher than non-hypertensives (17.4%) and found significant (P-value=0.043). Conclusion: Hypertensive disorder of pregnancy was the most common maternal complication observed in women who had threatened miscarriage in first trimester. Preterm birth had significant association with hypertensive disorder of pregnancy.

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Frequency of Abruptio Placenta in Women With Pregnancy-Induced Hypertension

Cited by 6 publications

References 25 publications

Risk factors and maternal/fetal outcomes of pregnant women with abruptio placenta: a retrospective, descriptive study

Risk factors and maternal/fetal outcomes of pregnant women with abruptio placenta: a retrospective, descriptive study

Pregnancy Outcomes in Women Who Developed Elevated Blood Pressure and Stage I Hypertension after 20 Weeks Gestation

Maternal complications in women presenting with first trimester threatened miscarriage.

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