Placental abruption: Clinical aspect, management, and maternal-fetal prognosis in the gynecology department 2 of the CHU Hassan II of Fez

Abstract

Introduction: Placental Abruption is a serious complication of pregnancy, threatening the lives of both mother and fetus. Our work aimed to describe the clinical aspects, management and maternal-fetal prognosis

Materials and Methods:This was a descriptive retrospective study of 86 cases of HRPtreated at the Department of Gynecology and Obstetrics II at Hassan II Fez University Hospital during the period from January 1 st , 2016 to December 31st , 2020.

Results: The frequency of placental abruption in our study is 0.8%. The average age of our patients was 29 years with extremes of 16 and 42 years. Clinically, the main reason for admission was bleeding associated with uterine hypertonia (41 cases). The maternal prognosis was dominated by acute anemia of the post-partum (68.60%) and hemorrhage of delivery with (24.4%). Total fetal mortality was 69.76%, of which 62.79% was fetal death in utero and 4.65% was neonatal mortality. Neonatal morbidity was dominated by prematurity (12 cases) followed by neonatal respiratory distress (8 cases) and low birth weight (7 cases) with proportions of 13.95%, 9.30% and 8.13%, respectively.

Conclusion: Placental abruption is a major emergency in obstetric pathology, involving the vital and functional maternal-fetal prognosis. Improving this prognosis requires better prenatal follow-up, early diagnosis, rapid and adequate care.