Acta Biomedica Scientia

TO STUDY COMPLICATIONS IN THE THIRD STAGE OF LABOR ASSOCIATED WITH ABRUPTIO PLACENTAE IN MATERNAL CASES IN SOUTHINDIA

Prabhakar Reddy .E, Antony Zacharias K.T

drpebyreddy@gmail.com

Abruptio Placentae, Third Stage of Labor, Maternal Health, Obstetric Complications, Pregnancy.

Abruptio placentae, a serious obstetric complication characterized by the premature separation of the placenta, presents a myriad of challenges during pregnancies, particularly in the critical phase of the third stage of labor. This study focuses on elucidating the maternal obstacles encountered in pregnancies complicated by abruptio placentae during the third stage of labor. A comprehensive analysis was conducted on a cohort of cases involving 8991 deliveries, where abruptio placentae was observed in 89 instances, accounting for 0.9% prevalence. Demographic factors, including age and parity, were examined, revealing a concentration of cases in the 21-30 years age group (46% in 21-25 years) and a higher prevalence in multiparous women (76.4%). Antenatal risk factors such as anemia, preeclampsia, previous cesarean, abortion, and Rhnegativity were identified. The mode of delivery played a pivotal role, with 62.9% undergoing cesarean section, reflecting the clinical complexities associated with abruptio placentae. Vaginal delivery was observed in 37% of cases, emphasizing its feasibility in certain situations. Complications in the third stage of labor, including atonic postpartum hemorrhage, hemorrhagic shock, Couvelaire uterus, coagulopathy, postpartum eclampsia, and maternal mortality, were observed in varying percentages, highlighting the multifaceted challenges faced by mothers. This study sheds light on the intricate interplay between maternal health, obstetric factors, and the clinical management of abruptio placentae during the third stage of labor. The findings underscore the need for tailored approaches to address these challenges and improve maternal outcomes. Further research and clinical strategies are warranted to enhance our understanding and refine interventions in managing abruptio placentae in this critical phase of labor.