Perinatal and maternal outcome following abruptio placentae

Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy
A G Witlin, B M Sibai

Abstract

To characterize the maternal and fetal presentation of abruptio placentae and associated maternal and fetal morbidity and mortality by mode of delivery and fetal status on admission. Perinatal data (gestational age > 24 weeks) from women with abruptio placentae at a tertiary referral center were analyzed. For the purpose of evaluating fetal morbidity and mortality, group 1 included women with hypertensive disorders of pregnancy (preeclampsia or chronic hypertension), PROM, cocaine abuse, and > 20% abruptio placentae without regard to fetal status on admission (reassuring, nonreassuring, or stillborn). In group 1, either umbilical artery pH < 7.0, Apgar < 3(5), or base excess > 12 mmol/L represented perinatal hypoxia for this evaluation. Group 2 included women with stillborn fetuses on admission without regard to etiology or size of abruptio placentae. Comparisons between groups were made with one-way analysis of variance, Kruskal-Wallis, or chi2 tests; p < 0.05 was considered significant. Group 1 was comprised of 342 women; 58.4% of fetuses had abnormal fetal heart rate tracings. Overall, the sensitivity of an abnormal fetal heart rate tracing to predict perinatal hypoxia was 87.2%, specificity was 33.9%, positive predictive va...Continue Reading

References

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Citations

Sep 9, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Gian Carlo Di Renzo
Apr 24, 2015·Archives of Gynecology and Obstetrics·Sarit HelmanSorina Grisaru-Granovsky
Dec 16, 2005·Fetal Diagnosis and Therapy·Ricardo BariniLourenço Sbragia
Oct 3, 2006·Obstetrics and Gynecology·Yinka Oyelese, C V Ananth
Mar 20, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·S LisonkovaM S Kramer

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