Placental Abruption (PA) is one of the leading causes in perinatal morbidity and mortality. It occurs in 1:120 deliveries, makes 15% of perinatal mortality.
Aim was to analyze neonatal outcome in deliveries with PA.
MATERIALS AND METHODS
Test group-49 neonates born in 2 year period with PA. Results were classified by gender, gestation, body mass, Apgar score and pH. Neonatal
mortality/morbidity was analyzed. Control-154 neonates, born during the same period without PA. Results were statistically tested.
CLINICAL CASES OR SUMMARY RESULTS
Test-significantly more preterm neonates (18,7%:10,4%).Apgar score 7 and lower, test-(20.86%), control-(9.7%).Acidosis during first hour maintained in
test-(35.41%), control-(11.68%). Morbidity analyze gives a high degree of perinatal asphyxia, hypoxic-ischemic encephalopathy, intracranial bleeding and
anemia in test group. As a main reason for morbidity/mortality lower gestation and lower body mass were recognized in test group.
In our analysis 85.4% of neonates in test group were released as recovered or healthy. Although a small sample, it could be said that on time diagnosis,
adequate way of delivery and neonatal care afterward, makes that the outcome of these deliveries could be satisfied.
Journal of Perinatology 01/2010; · 1.80 Impact Factor