Perinatal outcome in patients presenting with placental abruption at term

Objective: to determine the perinatal outcome in patients presenting with placental abruption at term. materials & methods: sixty patients of abruptio placentae presenting at term were selected. patients underwent a complete obstetrical clinical workup including history,general physical examination,abdominal and pelvic examination. relevant investigations such as laboratory tests and imaging were performed. patients were managed according to maternal and fetal condition. any maternal and/or fetal complications were noted and recorded results: the mean age of the patients was 35 years. 15% patients were nulliparous and 85% patients were multiparous,20% patients had pregnancy induced hypertension,8% patients were smokers,32% patients had multiple gestation and 12% patients were diabetic. 72% patients had vaginal delivery and 28% patients had cesarean section. 93% patients presented with abdominal pain and 63% patients presented with vaginal bleeding. usd evidence of abruption was found in 68% patients. fetal mortality was 70%. 37% babies born had asphyxia neonatorum.. conclusion: abruptio placentae is common in women with advancing age,high parity,hypertensive disorders of pregnancy and smoking and is associated with adverse fetal outcome.