Maternal pregnancy weight gain and the risk of placental abruption

Salihu, Hamisu M.; Diamond, E L; August, Euna M.; Rahman, Shams; Mogos, Mulubrhan F.; Mbah, Alfred K.

doi:10.1111/nure.12063

Cited by 4 publications

(1 citation statement)

References 27 publications

(40 reference statements)

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“…9 Recognized associated risk factors as true aetiology has not been elucidated include: prior abruption, smoking, trauma, cocaine use, multifetal gestation, hypertension, preeclampsia, thrombophilias, advanced maternal age, preterm pre-labour rupture of the membranes, intrauterine infections, and hydramnios. 1,7,9,10 Recent studies suggest association of social disparity, 11 male sex, 12 and suboptimal maternal weight gain in pregnancy 13 and major congenital anomalies 14 with abruption placenta. These are new frontiers of risk factors whereas, previous suggestion of folic acid deficiency as a risk factor is unfounded.…”

Section: Introductionmentioning

confidence: 99%

A longitudinal study of incidence and pregnancy outcome of abruption placenta at the–tertiary hospital in Gambia

Anyanwu¹,

Mustapha²,

Idoko³

2019

IPCB

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Background: Placenta abruption is the leading cause of vaginal bleeding in the latter half of pregnancy and obstetrics haemorrhage the most common cause of maternal death in sub-Saharan Africa. The aim of the study was to determine incidence, risk factors and management outcomes of abruption in our setting. Methods: data on pregnancy, delivery, maternal and perinatal outcomes were collected using a structured data collection tool from January to December 2014 at Edward Francis Small Teaching Hospital. Descriptive statistics was generated and analysed using Stata statistical software. A binary variable regression analysis with confidence interval set at 95% and Odd ratio was used for test of significance. Results: there were 4640 maternities and 111 had abruption at the rate of 24/1000 maternities (2.4%). Increasing maternal age >31 years and parity >4 were associated with high frequency of abruption 36.3% and 54.1% respectively. The commonest risk factor was hypertensive disorder in pregnancy (59.5%). The stillbirth rate was 53%, predominantly fresh stillbirth (46.8%). However, maternal age <=20years, preeclampsia/eclampsia and chronic hypertensive disorders in pregnancy had some association with adverse perinatal outcome; OR 1.71 (CI-0.43, 6.81); 2.09 (CI-0.84, 5.21); 1.64 (CI-0.51, 5.24) respectively. There was no maternal death among the cohort. Conclusion: incidence of abruption placenta was high (2.4%) with significant adverse neonatal outcome. Hypertensive disorder in pregnancy was the commonest risk factor of abruption placenta in the Gambia.

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