Maternal and Fetal Prognosis in Abruptio Placentae at Korle-Bu Teaching Hospital, Ghana
The study provided baseline data of abruptio placentae in Korle-Bu Teaching Hospital (KBTH), Ghana, and gave recommendations to minimize poor outcomes. A prospective cross sectional study was conducted at the Maternity Department of the KBTH between February 2008 and January 2010. Two hundred women...
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| Veröffentlicht in: | African journal of reproductive health 2014-12, Vol.18 (4), p.115-122 |
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| creator | Coleman, Jerry Srofenyo, Emmanuel K. Ofori, Eric K. Brakohiapa, Edmund K. Antwi, William K. |
| description | The study provided baseline data of abruptio placentae in Korle-Bu Teaching Hospital (KBTH), Ghana, and gave recommendations to minimize poor outcomes. A prospective cross sectional study was conducted at the Maternity Department of the KBTH between February 2008 and January 2010. Two hundred women with diagnosis of placental abruption were studied using a pretested standardized structured questionnaire. Statistical Package for Social Sciences (SPSS) version 17 was used to analyse the data. Fifteen thousand five hundred and ten (15,510) deliveries were recorded during the study period out of which 1.4% abruptio placentae cases were confirmed. The perinatal and maternal mortality rates were 65% and 2% respectively. The key risk factors identified were low socio-economic status, grandmultiparity and hypertensive disorders in pregnancy. Intrauterine foetal death, (IUFD) and maternal shock were significantly associated with coagulopathy (p= 0.001 and 0.004 respectively). Early diagnoses of placental abruption will significantly improve foetal and maternal survival. L'étude a fourni des données de base de décollement prématuré du placenta au Centre Hospitalier Universitaire de Korle-Bu (CHUK) au Ghana, et a donné des recommandations pour minimiser les mauvais résultats. Une étude transversale prospective a été menée au Département de la maternité de CHUK entre le mois du février 2008 et janvier 2010. Deux cents femmes avec le diagnostic de décollement placentaire ont été étudiées en utilisant un questionnaire structuré pré-testé et normalisé. Le Paquet Statistique pour les sciences économiques (PSPSE) la version 17 a été utilisé pour analyser les données. Quinze mille cinq cent dix (15510) accouchements ont été enregistrés pendant la période d'étude dont 1,4% des cas de décollement placentaire ont été confirmés. Les taux de mortalité périnatale et maternelle étaient de 65% et 2% respectivement. Les principaux facteurs de risque identifiés sont le faible situation socio-économique, une grande multiparité et de l'hypertension pendant la grossesse. La mort intra-utérine du fœtus, (MIUF) et le choc maternel étaient significativement associés à la coagulopathie (p = 0,001 et 0,004 respectivement). Les premiers diagnostics de décollement placentaire s'amélioreront de façon significative la survie fœtale et maternelle. |
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A prospective cross sectional study was conducted at the Maternity Department of the KBTH between February 2008 and January 2010. Two hundred women with diagnosis of placental abruption were studied using a pretested standardized structured questionnaire. Statistical Package for Social Sciences (SPSS) version 17 was used to analyse the data. Fifteen thousand five hundred and ten (15,510) deliveries were recorded during the study period out of which 1.4% abruptio placentae cases were confirmed. The perinatal and maternal mortality rates were 65% and 2% respectively. The key risk factors identified were low socio-economic status, grandmultiparity and hypertensive disorders in pregnancy. Intrauterine foetal death, (IUFD) and maternal shock were significantly associated with coagulopathy (p= 0.001 and 0.004 respectively). Early diagnoses of placental abruption will significantly improve foetal and maternal survival. L'étude a fourni des données de base de décollement prématuré du placenta au Centre Hospitalier Universitaire de Korle-Bu (CHUK) au Ghana, et a donné des recommandations pour minimiser les mauvais résultats. Une étude transversale prospective a été menée au Département de la maternité de CHUK entre le mois du février 2008 et janvier 2010. Deux cents femmes avec le diagnostic de décollement placentaire ont été étudiées en utilisant un questionnaire structuré pré-testé et normalisé. Le Paquet Statistique pour les sciences économiques (PSPSE) la version 17 a été utilisé pour analyser les données. Quinze mille cinq cent dix (15510) accouchements ont été enregistrés pendant la période d'étude dont 1,4% des cas de décollement placentaire ont été confirmés. Les taux de mortalité périnatale et maternelle étaient de 65% et 2% respectivement. Les principaux facteurs de risque identifiés sont le faible situation socio-économique, une grande multiparité et de l'hypertension pendant la grossesse. La mort intra-utérine du fœtus, (MIUF) et le choc maternel étaient significativement associés à la coagulopathie (p = 0,001 et 0,004 respectivement). Les premiers diagnostics de décollement placentaire s'amélioreront de façon significative la survie fœtale et maternelle.</description><identifier>ISSN: 1118-4841</identifier><identifier>PMID: 25854099</identifier><language>eng</language><publisher>Nigeria: Women's Health and Action Research Centre</publisher><subject>Abruptio placentae ; Abruptio Placentae - diagnosis ; Abruptio Placentae - etiology ; Abruptio Placentae - mortality ; Adult ; Bleeding ; Blood ; Cesarean section ; Cross-Sectional Studies ; Death ; Early Diagnosis ; Female ; Ghana - epidemiology ; Health aspects ; Health risk assessment ; Hemorrhage ; Hospitals, Teaching - statistics & numerical data ; Humans ; Hypertension - complications ; Maternal & child health ; Maternal Mortality ; Medical prognosis ; Medical research ; Morbidity ; Mortality ; Parity ; Perinatal Mortality ; Placenta ; Placental abruption ; Pregnancy ; Pregnancy Outcome - epidemiology ; Prognosis ; Prospective Studies ; Reproductive health ; Risk Factors ; Socioeconomic Factors ; Stillbirth ; Studies ; Surveys ; Teaching hospitals</subject><ispartof>African journal of reproductive health, 2014-12, Vol.18 (4), p.115-122</ispartof><rights>COPYRIGHT 2014 Women's Health and Action Research Centre (WHARC)</rights><rights>Copyright Women's Health and Action Research Centre Dec 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24362051$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24362051$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25854099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coleman, Jerry</creatorcontrib><creatorcontrib>Srofenyo, Emmanuel K.</creatorcontrib><creatorcontrib>Ofori, Eric K.</creatorcontrib><creatorcontrib>Brakohiapa, Edmund K.</creatorcontrib><creatorcontrib>Antwi, William K.</creatorcontrib><title>Maternal and Fetal Prognosis in Abruptio Placentae at Korle-Bu Teaching Hospital, Ghana</title><title>African journal of reproductive health</title><addtitle>Afr J Reprod Health</addtitle><description>The study provided baseline data of abruptio placentae in Korle-Bu Teaching Hospital (KBTH), Ghana, and gave recommendations to minimize poor outcomes. A prospective cross sectional study was conducted at the Maternity Department of the KBTH between February 2008 and January 2010. Two hundred women with diagnosis of placental abruption were studied using a pretested standardized structured questionnaire. Statistical Package for Social Sciences (SPSS) version 17 was used to analyse the data. Fifteen thousand five hundred and ten (15,510) deliveries were recorded during the study period out of which 1.4% abruptio placentae cases were confirmed. The perinatal and maternal mortality rates were 65% and 2% respectively. The key risk factors identified were low socio-economic status, grandmultiparity and hypertensive disorders in pregnancy. Intrauterine foetal death, (IUFD) and maternal shock were significantly associated with coagulopathy (p= 0.001 and 0.004 respectively). Early diagnoses of placental abruption will significantly improve foetal and maternal survival. L'étude a fourni des données de base de décollement prématuré du placenta au Centre Hospitalier Universitaire de Korle-Bu (CHUK) au Ghana, et a donné des recommandations pour minimiser les mauvais résultats. Une étude transversale prospective a été menée au Département de la maternité de CHUK entre le mois du février 2008 et janvier 2010. Deux cents femmes avec le diagnostic de décollement placentaire ont été étudiées en utilisant un questionnaire structuré pré-testé et normalisé. Le Paquet Statistique pour les sciences économiques (PSPSE) la version 17 a été utilisé pour analyser les données. Quinze mille cinq cent dix (15510) accouchements ont été enregistrés pendant la période d'étude dont 1,4% des cas de décollement placentaire ont été confirmés. Les taux de mortalité périnatale et maternelle étaient de 65% et 2% respectivement. Les principaux facteurs de risque identifiés sont le faible situation socio-économique, une grande multiparité et de l'hypertension pendant la grossesse. La mort intra-utérine du fœtus, (MIUF) et le choc maternel étaient significativement associés à la coagulopathie (p = 0,001 et 0,004 respectivement). Les premiers diagnostics de décollement placentaire s'amélioreront de façon significative la survie fœtale et maternelle.</description><subject>Abruptio placentae</subject><subject>Abruptio Placentae - diagnosis</subject><subject>Abruptio Placentae - etiology</subject><subject>Abruptio Placentae - mortality</subject><subject>Adult</subject><subject>Bleeding</subject><subject>Blood</subject><subject>Cesarean section</subject><subject>Cross-Sectional Studies</subject><subject>Death</subject><subject>Early Diagnosis</subject><subject>Female</subject><subject>Ghana - epidemiology</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Hemorrhage</subject><subject>Hospitals, Teaching - statistics & numerical data</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Maternal & child health</subject><subject>Maternal Mortality</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Parity</subject><subject>Perinatal Mortality</subject><subject>Placenta</subject><subject>Placental abruption</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Reproductive health</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Stillbirth</subject><subject>Studies</subject><subject>Surveys</subject><subject>Teaching hospitals</subject><issn>1118-4841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>QXPDG</sourceid><recordid>eNptkUtr3DAQx31oaB7tR2gRFEIPdbHe9nET8ihNaQ4pPZqxNd7VopU2knzIt69MUtKEosOImd__zzzeVEeU0rYWraCH1XFK26ZhQjL9tjpkspWi6bqj6vcPyBg9OALekEvM5Xcbw9qHZBOxnqyGOO-zDeTWwYg-AxLI5HuIDuuzmdwhjBvr1-Q6pL0t6i_kagMe3lUHE7iE75_iSfXr8uLu_Lq--Xn17Xx1U6-57HI9UC05Bw5GD2zQmk1KDa2hk2ZGgO4MG9sCUqm1UB01VMm2awZtUHYKVcdPqs-PvvsY7mdMud_ZNKJz4DHMqadKM0VFwxb00yt0G-Zl9IVSjCtKeftMrcFhb_0UcoRxMe1XxUaUduTi9fU_VHkGd3YMHidb8i8Ep_8INggub1Jwc9msTy_Bj09dzsMOTb-Pdgfxof97sgJ8eAS2KYf4XBdcsUZS_gehKJW2</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Coleman, Jerry</creator><creator>Srofenyo, Emmanuel K.</creator><creator>Ofori, Eric K.</creator><creator>Brakohiapa, Edmund K.</creator><creator>Antwi, William K.</creator><general>Women's Health and Action Research Centre</general><general>Women's Health and Action Research Centre (WHARC)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7R6</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>BSCPQ</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>QXPDG</scope><scope>UXAQP</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>Maternal and Fetal Prognosis in Abruptio Placentae at Korle-Bu Teaching Hospital, Ghana</title><author>Coleman, Jerry ; Srofenyo, Emmanuel K. ; Ofori, Eric K. ; Brakohiapa, Edmund K. ; Antwi, William K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g359t-b17533a3ad7b2b772f66b8d1f72d4a79d2c835915774691d165890b7de596e693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abruptio placentae</topic><topic>Abruptio Placentae - diagnosis</topic><topic>Abruptio Placentae - etiology</topic><topic>Abruptio Placentae - mortality</topic><topic>Adult</topic><topic>Bleeding</topic><topic>Blood</topic><topic>Cesarean section</topic><topic>Cross-Sectional Studies</topic><topic>Death</topic><topic>Early Diagnosis</topic><topic>Female</topic><topic>Ghana - epidemiology</topic><topic>Health aspects</topic><topic>Health risk assessment</topic><topic>Hemorrhage</topic><topic>Hospitals, Teaching - statistics & numerical data</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Maternal & child health</topic><topic>Maternal Mortality</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Parity</topic><topic>Perinatal Mortality</topic><topic>Placenta</topic><topic>Placental abruption</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Reproductive health</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Stillbirth</topic><topic>Studies</topic><topic>Surveys</topic><topic>Teaching hospitals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coleman, Jerry</creatorcontrib><creatorcontrib>Srofenyo, Emmanuel K.</creatorcontrib><creatorcontrib>Ofori, Eric K.</creatorcontrib><creatorcontrib>Brakohiapa, Edmund K.</creatorcontrib><creatorcontrib>Antwi, William K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>GenderWatch</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>Black Studies Center</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Diversity Collection</collection><collection>ProQuest Black Studies</collection><collection>MEDLINE - Academic</collection><jtitle>African journal of reproductive health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coleman, Jerry</au><au>Srofenyo, Emmanuel K.</au><au>Ofori, Eric K.</au><au>Brakohiapa, Edmund K.</au><au>Antwi, William K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal and Fetal Prognosis in Abruptio Placentae at Korle-Bu Teaching Hospital, Ghana</atitle><jtitle>African journal of reproductive health</jtitle><addtitle>Afr J Reprod Health</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>18</volume><issue>4</issue><spage>115</spage><epage>122</epage><pages>115-122</pages><issn>1118-4841</issn><abstract>The study provided baseline data of abruptio placentae in Korle-Bu Teaching Hospital (KBTH), Ghana, and gave recommendations to minimize poor outcomes. A prospective cross sectional study was conducted at the Maternity Department of the KBTH between February 2008 and January 2010. Two hundred women with diagnosis of placental abruption were studied using a pretested standardized structured questionnaire. Statistical Package for Social Sciences (SPSS) version 17 was used to analyse the data. Fifteen thousand five hundred and ten (15,510) deliveries were recorded during the study period out of which 1.4% abruptio placentae cases were confirmed. The perinatal and maternal mortality rates were 65% and 2% respectively. The key risk factors identified were low socio-economic status, grandmultiparity and hypertensive disorders in pregnancy. Intrauterine foetal death, (IUFD) and maternal shock were significantly associated with coagulopathy (p= 0.001 and 0.004 respectively). Early diagnoses of placental abruption will significantly improve foetal and maternal survival. L'étude a fourni des données de base de décollement prématuré du placenta au Centre Hospitalier Universitaire de Korle-Bu (CHUK) au Ghana, et a donné des recommandations pour minimiser les mauvais résultats. Une étude transversale prospective a été menée au Département de la maternité de CHUK entre le mois du février 2008 et janvier 2010. Deux cents femmes avec le diagnostic de décollement placentaire ont été étudiées en utilisant un questionnaire structuré pré-testé et normalisé. Le Paquet Statistique pour les sciences économiques (PSPSE) la version 17 a été utilisé pour analyser les données. Quinze mille cinq cent dix (15510) accouchements ont été enregistrés pendant la période d'étude dont 1,4% des cas de décollement placentaire ont été confirmés. Les taux de mortalité périnatale et maternelle étaient de 65% et 2% respectivement. Les principaux facteurs de risque identifiés sont le faible situation socio-économique, une grande multiparité et de l'hypertension pendant la grossesse. La mort intra-utérine du fœtus, (MIUF) et le choc maternel étaient significativement associés à la coagulopathie (p = 0,001 et 0,004 respectivement). Les premiers diagnostics de décollement placentaire s'amélioreront de façon significative la survie fœtale et maternelle.</abstract><cop>Nigeria</cop><pub>Women's Health and Action Research Centre</pub><pmid>25854099</pmid><tpages>8</tpages></addata></record> |
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| subjects | Abruptio placentae Abruptio Placentae - diagnosis Abruptio Placentae - etiology Abruptio Placentae - mortality Adult Bleeding Blood Cesarean section Cross-Sectional Studies Death Early Diagnosis Female Ghana - epidemiology Health aspects Health risk assessment Hemorrhage Hospitals, Teaching - statistics & numerical data Humans Hypertension - complications Maternal & child health Maternal Mortality Medical prognosis Medical research Morbidity Mortality Parity Perinatal Mortality Placenta Placental abruption Pregnancy Pregnancy Outcome - epidemiology Prognosis Prospective Studies Reproductive health Risk Factors Socioeconomic Factors Stillbirth Studies Surveys Teaching hospitals |
| title | Maternal and Fetal Prognosis in Abruptio Placentae at Korle-Bu Teaching Hospital, Ghana |
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