To Determine the Frequency of Preterm Births in Abruptio Placentae in a Tertiary Care Hospital, in Urban City of Pakistan

Abstract

Introduction: Abruption placenta is a serious condition in which a normally sited placenta detaches its attachment from the uterine wall, after 20 weeks of gestation and before the delivery. Abruptio placentae is associated with various complications. In this study, we will focus on frequency of preterm birth in patients with abruptio placentae. Material and Methods: This cross-sectional study was conducted at the department of Obstetrics and Gynecology Unit – I, Civil Hospital Karachi and Dow University of Health Sciences from January 2021 to December 2021. Three hundred and eighty four (384) patients with confirmed diagnosis of abruptio placentae were followed till delivery of their babies. Results: 154 (40.1%) participants had preterm delivery. Preterm delivery was significantly higher in participants with parity more than 3 (p value < 0.0001). There was no difference in frequency of preterm based on age and status Conclusion: Preterm deliveries are very prevalent in pregnant women presenting with abruptio placentae. Booked participants who are at risk of abruptio placentae should be monitored more closely and they should be made aware of the possible complication of preterm delivery associated with abruptio placentae. Keywords: Abruptio placentae, preterm delivery, premature delivery, tertiary care, Pakistan