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Original Article

J. Islam. Int. Med. Coll.. 2018; 13(2): 76-80

Morphological Study and Demographic Survey of Abruptio Placenta Patients in Term Delivery. A Case Control Study

Saima Mumtaz, Manzoor Ahmad, Sumaira Abbasi.


Objective: This study was conducted to assess the gross morphological changes in abruptio placenta and its
demographic prevalence in our set up.
Study Design: A case control study.
Place and Duration of Study: The study was conducted in Anatomy Department of Federal Medical and Dental
College and data was collected from Gynaecology and Obstetrics department of Pakistan Institute of Medical
Sciences, affiliated with Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU) Islamabad in a duration of
eight months from 13th July 2015 to 20th February 2016.
Materials and Methods: Eighty pregnant women presented in the term pregnancy, forty having abruptio
placenta, and forty with normal placenta already diagnosed by ultrasounds. Non-purposive sampling
technique was done for the comparison between two groups. An organized data collection check list was used
for the collection of data. The data was statistically analyzed using SPSS version 20 and MS Excel. The Chi-Square
test and Student T test were applied, with p value ≤0.05.
Results: During the study period, eighty pregnant women with forty abruption placenta cases were included.
Among these most frequent age was 26 to 30 years (50%) with mean± SD age of 28.1± 4.9. Majority, 70% were
of low socioeconomic status and mode of delivery was C-Section (87.5%) in abruptio placenta group. The mean
weight (grams) of abruptio placentae was found to be 396.4 ±49.9 as compared to 523.3 grams + 38.8 in normal
placentae. The diameter (cm) of abruptio placentae was 13.0±2.9 as compared to normal placentae16.4 + 3.8.
The number of cotyledons were reduced to 11.5±6.1 in abruptio placentae as compared to control 16.5 + 6.8.
Conclusion: It is concluded that gross morphological changes in abruptio placenta include reduction in its
weight, dimensions and number of cotyledon. Moreover, the demographics show that it is more prevalent in
low socioeconomic women leading to high rate of Cesarean Section.

Key words: Abruptio Placenta, APH (Antepartum Hemorrhage), Socio-Economic Status.

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