ASSOCIATION OF MATERNAL HYPERTENSION WITH PLACENTAL ABRUPTION

Authors

  • Samina Naseem Khattak
  • Farhat Deeba
  • Attiya Ayaz
  • Muhammad Irfan Khattak

Abstract

Background: Placental abruption is one of the leading causes of maternal mortality and morbidity.Many causes predispose an expecting mother to placental abruption, such as trauma, previoushistory, smoking, ethnicity and hypertension. The present study concentrated on maternalhypertension as a cause of abruption. Methods: All subjects of this comparative study underwent acomplete obstetrical clinical workup comprising history, general physical examination, abdominaland pelvic examination, and relevant investigations. The maternal condition was assessed andmanaged according to established labour ward protocols, which included both pharmacological andsurgical intervention. Patients were allotted various subgroups for detailed data analysis andcomparative analysis. Results: A total of 50 cases and 50 controls for placental abruption werestudied during the study period. Both groups were compared based on parity, gestational age,proteinurea, haemoglobin, and hypertension. Mean systolic blood pressure (SBP) of cases in thisstudy was 155±7.8 mmHg versus mean SBP for controls was 120±14 mmHg. Mean diastolic bloodpressure (DBP) of the cases was 104±6.6 mmHg compared to controls where mean DBP was 71±11mmHg. Among the controls, 45 (90%) had blood pressures in the normal range. There wasstatistically significant differences between cases and controls with respect to hypertension (p<0.01).Conclusion: Placental abruption is strongly associated with maternal hypertension.Keywords: Placental Abruption, Hypertension, Maternal Morbidity, Antepartum Haemorrhage (APH)

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Published

2012-12-01

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