SELECTIVE MANAGEMENT OF ABRUPTIO PLACENTAE - A PROSPECTIVE-STUDY

  • 1 January 1983
    • journal article
    • research article
    • Vol. 61  (4) , 467-473
Abstract
Antenatal diagnosis and selective management of abruptio placentae were studied prospectively over a 17-mo. period. Diagnosis was confirmed by placental inspection in 59 (1.3%) of 4545 deliveries. Among the 50 patients admitted with a living fetus, the diagnosis was made antenatally in 31 (62%). Fifteen were delivered vaginally and 16 by cesarean section. When these infants were compared to all other liveborn infants delivered during this period using a weight-adjusted x2 analysis, no significant difference was found in neonatal mortality or duration of hospitalization. There was a significant increase in the incidence of both respiratory distress syndrome and low Apgar scores among the study infants (P < 0.005), but these increases were not correlated with mode of delivery or diagnosis-to-delivery interval. Optimal fetal survival and an acceptable cesarean section rate may be obtained by selective management, especially in infants weighing more than 1500 g.

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