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Predictors of perinatal mortality associated with placenta previa and placental abruption: an experience from a low income country.

Berhan Y - J Pregnancy (2014)

Bottom Line: There were 50% perinatal deaths (neonatal deaths of less than seven days of age and fetal deaths after 28 weeks of gestation).In the adjusted odds ratios, lengthy delay in accessing hospital care, prematurity, anaemia in the mothers, and male foetuses were independent predictors of perinatal mortality.The proportion of severe anaemia and perinatal mortality was probably one of the highest in the world.

View Article: PubMed Central - PubMed

Affiliation: College of Medicine and Health Sciences, Hawassa University, P.O. Box 1560, Hawassa, Ethiopia.

ABSTRACT
A retrospective cohort study design was used to assess predictors of perinatal mortality in women with placenta previa and abruption between January 2006 and December 2011. Four hundred thirty-two women (253 with placenta previa and 179 with placental abruption) were eligible for analysis. Binary logistic regression, Kaplan-Meier survival curve, and receiver operating characteristic (ROC) curve were used. On admission, 77% of the women were anaemic (<12 gm/dL) with mean haemoglobin level of 9.0 ± 3.0 gm/dL. The proportion of overall severe anaemia increased from about 28% on admission to 41% at discharge. There were 50% perinatal deaths (neonatal deaths of less than seven days of age and fetal deaths after 28 weeks of gestation). In the adjusted odds ratios, lengthy delay in accessing hospital care, prematurity, anaemia in the mothers, and male foetuses were independent predictors of perinatal mortality. The haemoglobin level at admission was more sensitive and more specific than prematurity in the prediction of perinatal mortality. The proportion of severe anaemia and perinatal mortality was probably one of the highest in the world.

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Related in: MedlinePlus

The change in haemoglobin level at the time of discharge from the level at the time of admission, 2006–2011, Hawassa University Hospital, Ethiopia.
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Related In: Results  -  Collection


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fig1: The change in haemoglobin level at the time of discharge from the level at the time of admission, 2006–2011, Hawassa University Hospital, Ethiopia.

Mentions: In patients with placenta previa, severe anaemia increased from 33.2% on admission to 51.4% at discharge. In short, the proportion of anaemia increased from 201 (79.4%) to 234 (92.5%) in placenta previa cases and from 133 (74.3%) to 153 (85.5%) in placental abruption cases. Figure 1 summarizes the change in haemoglobin level after delivery. In the majority of women, the haemoglobin levels at discharge were below the level on admission. Specifically, the drops in haemoglobin level were marked in those women who were better with the haemoglobin level >7gm/dL on admission.


Predictors of perinatal mortality associated with placenta previa and placental abruption: an experience from a low income country.

Berhan Y - J Pregnancy (2014)

The change in haemoglobin level at the time of discharge from the level at the time of admission, 2006–2011, Hawassa University Hospital, Ethiopia.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4066949&req=5

fig1: The change in haemoglobin level at the time of discharge from the level at the time of admission, 2006–2011, Hawassa University Hospital, Ethiopia.
Mentions: In patients with placenta previa, severe anaemia increased from 33.2% on admission to 51.4% at discharge. In short, the proportion of anaemia increased from 201 (79.4%) to 234 (92.5%) in placenta previa cases and from 133 (74.3%) to 153 (85.5%) in placental abruption cases. Figure 1 summarizes the change in haemoglobin level after delivery. In the majority of women, the haemoglobin levels at discharge were below the level on admission. Specifically, the drops in haemoglobin level were marked in those women who were better with the haemoglobin level >7gm/dL on admission.

Bottom Line: There were 50% perinatal deaths (neonatal deaths of less than seven days of age and fetal deaths after 28 weeks of gestation).In the adjusted odds ratios, lengthy delay in accessing hospital care, prematurity, anaemia in the mothers, and male foetuses were independent predictors of perinatal mortality.The proportion of severe anaemia and perinatal mortality was probably one of the highest in the world.

View Article: PubMed Central - PubMed

Affiliation: College of Medicine and Health Sciences, Hawassa University, P.O. Box 1560, Hawassa, Ethiopia.

ABSTRACT
A retrospective cohort study design was used to assess predictors of perinatal mortality in women with placenta previa and abruption between January 2006 and December 2011. Four hundred thirty-two women (253 with placenta previa and 179 with placental abruption) were eligible for analysis. Binary logistic regression, Kaplan-Meier survival curve, and receiver operating characteristic (ROC) curve were used. On admission, 77% of the women were anaemic (<12 gm/dL) with mean haemoglobin level of 9.0 ± 3.0 gm/dL. The proportion of overall severe anaemia increased from about 28% on admission to 41% at discharge. There were 50% perinatal deaths (neonatal deaths of less than seven days of age and fetal deaths after 28 weeks of gestation). In the adjusted odds ratios, lengthy delay in accessing hospital care, prematurity, anaemia in the mothers, and male foetuses were independent predictors of perinatal mortality. The haemoglobin level at admission was more sensitive and more specific than prematurity in the prediction of perinatal mortality. The proportion of severe anaemia and perinatal mortality was probably one of the highest in the world.

Show MeSH
Related in: MedlinePlus