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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 relation of perinatal mortality with delay in arrival (a), gestational age (b), haemoglobin level (c), and fetal birth weight (d) as stratified by women with placenta previa and placental abruption, 2006–2011, Hawassa University Hospital, Ethiopia.
© Copyright Policy - open-access
Related In: Results  -  Collection


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fig4: The relation of perinatal mortality with delay in arrival (a), gestational age (b), haemoglobin level (c), and fetal birth weight (d) as stratified by women with placenta previa and placental abruption, 2006–2011, Hawassa University Hospital, Ethiopia.

Mentions: Figure 4 shows the relation of perinatal mortality with delay in arrival (a), gestational age (b), haemoglobin level (c), and fetal birth weight (d) as stratified by placenta previa and placental abruption. Both the median and IQR hours of delay among perinatal deaths were shorter than the survivors, which is another evidence to strengthen the findings in Figure 3. In women with placental abruption, the median gestational age and fetal birth weight were found to be lower in perinatal deaths than the survivors, whereas in women with placenta praevia, the median gestational ages of perinatal deaths and survivors were comparable. In both placental abruption and placenta previa, however, the median admission haemoglobin level of the cases resulting in perinatal deaths group was much lower than the survivors.


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

Berhan Y - J Pregnancy (2014)

The relation of perinatal mortality with delay in arrival (a), gestational age (b), haemoglobin level (c), and fetal birth weight (d) as stratified by women with placenta previa and placental abruption, 2006–2011, Hawassa University Hospital, Ethiopia.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig4: The relation of perinatal mortality with delay in arrival (a), gestational age (b), haemoglobin level (c), and fetal birth weight (d) as stratified by women with placenta previa and placental abruption, 2006–2011, Hawassa University Hospital, Ethiopia.
Mentions: Figure 4 shows the relation of perinatal mortality with delay in arrival (a), gestational age (b), haemoglobin level (c), and fetal birth weight (d) as stratified by placenta previa and placental abruption. Both the median and IQR hours of delay among perinatal deaths were shorter than the survivors, which is another evidence to strengthen the findings in Figure 3. In women with placental abruption, the median gestational age and fetal birth weight were found to be lower in perinatal deaths than the survivors, whereas in women with placenta praevia, the median gestational ages of perinatal deaths and survivors were comparable. In both placental abruption and placenta previa, however, the median admission haemoglobin level of the cases resulting in perinatal deaths group was much lower than the survivors.

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