Clinical presentation and risk factors associated with placental abruption

Objectives: to illustrate the pattern of clinical presentation in placental abruption and to seek association of various factors with abruption of placenta. study design: case control study. setting: this study was conducted in the department of obstetrics and gynaecology,unit-1,jinnah hospital,lahore. duration of study: this study was conducted over a period of one year from 24-04-06 to 23-04-07. subjects and methods: 64 cases and 64 controls were included in the study. cases were the patients with abruptio after 24 weeks of gestation and control were the patients presenting > 24 weeks of gestation without any bleeding/ abruptio. results: in group-a (cases),and group-b (controls) mean age was 31.3+6.7 and 27.4+4.5,respectively. raised diastolic blood pressure (> 90 mmhg) was recorded in 48 patients (75%) in group-a and in 9 patients (14.9%) in group-b. gestational diabetes mellitus was found to be in 6 patients (9.4%) in group-a and 1 patient (1.6%) of gdm was found in group-b. distribution of multiple pregnancy shows 3 patients (4.7%) in group-a and 1 patient (1.6%) in group-b. polyhydramnios was present in 6 patients (9.4%) in group-a and in 3 patients (4.7%) in group-b. conclusions: haemorrhage is the main presenting complaint. increasing age and parity has significant association with placental abruption.