Risk factors for severe abruptio placenta in Mulago Hospital, Kampala, Uganda.


Wandabwa, J; Doyle, P; Paul, K; Wandabwa, MA; Aziga, F; (2005) Risk factors for severe abruptio placenta in Mulago Hospital, Kampala, Uganda. African health sciences, 5 (4). pp. 285-90. ISSN 1680-6905 DOI: https://doi.org/10.5555/afhs.2005.5.4.285

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Abstract

Objective: To determine the risk factors for severe abruptio placenta in Mulago hospital, Kampala, Uganda. Design: A case control study. Setting: Mulago hospital labour wards Study population: Women who delivered in Mulago hospital. Participants: Forty five women with severe abruptio placenta (cases) were recruited between 15(th) November 2001 and 30(th) November 2002. They were followed up and compared to five hundred women (controls) who had normal deliveries. Outcome variables: Socio-demographic characteristics, familial history, medical history, gynaecological and obstetric history. Results: The risk factors for severe abruptio placenta were low socio economic status (OR 10.5,95% CI 3.8 to 29.2), co existing hypertension (OR 56.8, 95% CI 9.0 to 358.5), previous history of stillbirth (OR 3.1,95% CI 1.1 to 9.1), delivery by caesarean section in previous pregnancy (OR 7.3, 95% CI 1.8 to 29.7), non attendance of antenatal care(OR 6.5, 95% CI 2.0 to 21.2), recurrent vaginal bleeding(OR 26.7, 95% CI 8.6 to 85.4) and delivery of male babies(OR 2.2, 95% CI: 1.2 to 4.9). Conclusion: The risk factors for abruptio placenta were chronic hypertension, recurrent vaginal bleeding, previous delivery with caesarean section and low socio economic status. These factors can be identified during prenatal period and used to prevent maternal morbidity and mortality.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 16615836
URI: http://researchonline.lshtm.ac.uk/id/eprint/11792

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