Determining factor and prognosis of abruptio placenta in Senegal: case control study

Abstract

Aims: to examine the determinants of the onset of abruptio placenta and its prognosis in a high-prevalence country.

Materials and Methods: we performed a prospective multicentre, case-control study, including 270 patients. The cases had HRP beyond 20 weeks of amenorrhea. The study took place over a period of 16 months.

Results: The frequency of retroplacental hematoma was 2.2%. The average age of the cases was greater than that of controls (28.7 ± 6 vs 26.7 ± 6). Multiparas were 3.5 times more likely to have abruptio placenta (p = 0.000). The occurrence of HRP was strongly correlated with a history of spontaneous abortion, a history of HRP, poor antenatal care, and the presence of hypertension (p = 0.028). Stillbirth was 13.6 times higher in the HRP group. One case of maternal death was observed, it was a serious form of HRP with bleeding disorder.

Conclusion: Hypertension, poor prenatal follow-up, advanced maternal age and multiparity were the main factors associated with the occurrence of abruptio placenta.