Publications (2)3.6 Total impact
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Article: Neonatal Outcome in Deliveries With Placental Abruption
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ABSTRACT: INTRODUCTION 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. OBJECTIVE 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. CONCLUSIONS 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 -
Article: Preterm Placental Abruption as Cause of the Preterm Labor
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ABSTRACT: INTRODUCTION Placental abruption(PA)is one of the most severe complications during pregnancy. In practice it affects 0,5% of all deliveries, our duty is to be very vigilant about it occurrence, namely for it high fatality for mother and infant. OBJECTIVE To see through delivery patients with diagnosed partial and total PA, occurring before 37 gestational weeks (GW).Also to see the conditions of the neonates after delivery, comparing the data with the control group, without PA, with delivery before 37GW. MATERIALS AND METHODS Test group-49 patients with PA. 40 of them had CS. Control group-93 patients with preterm labor, without PA. 17 had a CS. All the results were statistically tested CLINICAL CASES OR SUMMARY RESULTS PA had a much higher rate of CS (81.6:18.3%)-ratio of the duration of hospitalization was 3.6:1, for test group, cost was 6.2 times higher. Deliveries were much shorter in test group, and consumption of blood derivates was 5.3 times higher. Control-neonates had higher Apgar score (8.34:6.71).Control group lost one neonate intrapartum-test had 4. Two postpartum hysterectomies in test-control group none.Average gestation: test 34 GW, control 35 weeks 3 days. CONCLUSIONS Test-much higher rate of previous miscarriages, renal failure, hypertension, gestational diabetes and anemia. Age-no influence. Placental insertion was mainly on the front wall-test, control-evenly spread. Previous uterine operations had 13(26.7%)-test,control-7(7,52%). Even though it makes 0.5% of all deliveries PA is the highest rate killer during delivery, pre or in term-Has to be always on our minds.Journal of Perinatology 01/2010; · 1.80 Impact Factor
