We investigated 28 cases of abruptio placentae among 9,502 deliveries in the Department of Obstetrics and Gynecology, Seoul Paik Hospital from March, 1983 to Februray, 1993.
@ES The results were as follows :
@EN 1. The incidence of abruptio placentae was 0.29% or one in 339 deliveries.
2. The age distribution at the time of diagnosis revealed that 14 cases (50%) were from 26 to 30 years, 9 cases (32.1%) were from 21 to 25 years, 5cases (17.9%) were from 31 to 35 years, 9 cases (32.1%) were from 21 to 25 years and 5 cases
(17.9%)
were
from 31 to 35years.
3. The incidence of abruptio placentae in nulliparous woman was 32.1% and in multiparous woman was 67.9%.
4. The incidence of unknown etiology was 12 cases (42.9%) and pregnaccy induced hypertension was the most frequent etiologic factor, comprising 35.37% of cases.
5. Uterine tenderness and/or back pain was the most common clinical symptom (78.6%) and vaginal bleeding was found in 19 cases (67.9%), fetal distress was 17 (60.7%), intrauterine fetal death was 8 cases (28.6%), uterine hypertonus was 7 cases
(25%),
and pretem labor 5 cases (17.9%) respectively.
6. As for the distribution of birth weight, 16 cases (53.3%) were less than 2,000 grams and 10 cases (33.3%) were 1,500 to 2,000 grams.
7. Concerning the correlation with gestational Age, neonatal condition the shorter gestational age, the worse neonatal condition.
8. In 18 cases (64.3%), blood trasfusion was necessary.
9. Vaginal delivery was performed in 75.0%, cesarean section in 25.0%.
10. The complications of abruptio placentae in our studies were coagulopathy in 10.8%, hemorrhage & shock in 7.1% and renal failure in 7.1%.
11. Perinatal mortality rate was 32.2% including still birth (28.6%) and neonatal death (3.6%).
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