Placental abruption: critical analysis of risk factors and perinatal outcomes

Objective. To investigate risk factors and pregnancy outcome of patients with placental abruption. Methods. A population-based study comparing all pregnancies of women with and without placental abruption was conducted. Stratified analysis using multiple logistic regression models was performed to c...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2011-05, Vol.24 (4), p.698-702
Main Authors: Pariente, Gali, Wiznitzer, Arnon, Sergienko, Ruslan, Mazor, Moshe, Holcberg, Gershon, Sheiner, Eyal
Format: Article
Language:English
Subjects:
Abruptio Placentae - epidemiology
Adult
Female
Humans
Hypertension - epidemiology
Israel - epidemiology
Logistic Models
Maternal Age
Perinatal Mortality
Placental abruption
Pregnancy
Pregnancy Outcome
Risk Factors
trends
Young Adult
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Summary:Objective. To investigate risk factors and pregnancy outcome of patients with placental abruption. Methods. A population-based study comparing all pregnancies of women with and without placental abruption was conducted. Stratified analysis using multiple logistic regression models was performed to control for confounders. Results. During the study period there were 185,476 deliveries, of which 0.7% (1365) occurred in patients with placental abruption. The incidence of placental abruption increased between the years 1998 to 2006 from 0.6 to 0.8%. Placental abruption was more common at earlier gestational age. The following conditions were significantly associated with placental abruption, using a multivariable analysis with backward elimination: hypertensive disorders, prior cesarean section, maternal age, and gestational age. Placental abruption was significantly associated with adverse perinatal outcomes such as Apgar scores 
ISSN:1476-7058
1476-4954
DOI:10.3109/14767058.2010.511346