Title of article :
Risk factors for severe abruptio placenta in Mulago Hospital, Kampala, Uganda
Author/Authors :
Wandabwa, Julius Makerere Medical School, Uganda , Doyle, Pat London School of Hygiene and Tropical Medicine, UK , Paul, Kiondo Makerere Medical School, UK , Wandabwa, Margaret .A. Mulago School of Nursing and Midwifery, Uganda , Aziga, Florence Mulago hospital, Uganda
From page :
285
To page :
290
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 15th November 2001 and 30th 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.
Journal title :
African Health Sciences
Journal title :
African Health Sciences
Record number :
2633379
Link To Document :
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