Objective: To determine the fetomaternal outcomes and risk factors of abruptio placentae

Study design: A cross-sectional study

Place and duration: Obstetrics and Gynecology department of Liaquat university hospital Hyderabad from January to June 2019

Methodology: Using a non-probability purposive sampling technique, 100 pregnant women with an ultrasound gestational age of 24 weeks or greater, a retro placental clot, and/or painful vaginal bleeding were included in the study. The study excluded women who presented with vaginal bleeding due to conditions other than abruptio placentae. After receiving emergency care, patients underwent a thorough evaluation based on their medical history, clinical examination, and laboratory tests, including coagulation profile, and ultrasound.

Results: The age of the women were between 18-45 years. A total of 12 (28.5%) women have a parity of >7. Overall 27 (14.1%) women presented between 38-40 weeks of pregnancy. Hypertension was present in 25 (59.3%) of cases, while 16 (38%) of women were anemic. A total of 13 (33%) women had grade 1 abruption. There were 21 (44.9%) intrauterine deaths. A total of 2(4.7%) women went into DIC, 2 (4.7%) had renal failure and 1 (2.3%) woman died due to abruptio placenta.

Conclusion: Anemia, grand multiparity, hypertension, and gestational age >37 weeks are all found to be primary risk factors for placenta abruptio, although maternal age does not appear to be associated in any way.

Keywords: Abruptio placenta, pregnant women, complication, morbidity