Obstetric prognosis after placental abruption.
OBJECTIVE
To assess obstetric outcome in women with a history of placental abruption.


METHODS
We utilised the population-based birth registry data of Kuopio University Hospital to investigate pregnancy outcome in 59 women with prior placental abruption. The general obstetric population was used as a reference group in logistic regression analysis.


RESULTS
Recurrent placental abruption and associated adverse neonatal outcome occurred in 11.9% (7:59) of the women. If the disease did not recur, a history of placental abruption had no significant effects on birth weight, fetal distress or prematurity rate, whereas the incidence of pre-eclampsia was found to be increased.


CONCLUSIONS
Women in whom placental abruption does not recur have a good outcome in their subsequent delivery, almost comparable to that in the general obstetric population. However, the recurrence rate of 11.9% is high (OR: 16.9, 95% CI: 8.2-34.9) when compared with the background incidence of placental abruption (0.7%).
Toivonen
Sari
S
Department of Obstetrics/Gynecology, Kuopio University Hospital, Kuopio, Finland. sari.toivonen@kuh.fi
Heinonen
Seppo
S
Anttila
Maarit
M
Kosma
Veli-Matti
VM
Saarikoski
Seppo
S
D000037:Abruptio Placentae / Q000175:diagnosis* / Q000453:epidemiology; D000328:Adult; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D016017:Odds Ratio; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies