FREQUENCY OF ABRUPTION PLACENTA IN GRAND MULTIGRAVIDA
Objective: To determine frequency of abruptio placenta in grand multigravida.
Study Design: Case-series study.
Place and Duration of Study: Shaikh Zaid Women Hospital CMCH Larkana, from Oct 2016 to Mar 2017.
Methodology: Total 172 patients of age 25-35 years, in their >5th pregnancy with gestational age >28 weeks were consecutively selected. Multifetal pregnancy, history of smoking, medical disorders like diabetes mellitus, heart disease, polyhydramnios, history of trauma in current pregnancy were excluded. Chi-square was used as test of significance with a p-value ≤0.05 was taken as significant.
Results: Mean age was 29.66 ± 3.28 years and mean gestational age was 33.11 ± 3.23 weeks, mean parity was 4.40 ± 1.14 children and mean gravidity was 6.12 ± 1.10 with the range of gravida 5 to 9. Frequency of placental abruption among grand multigravida women was found to be 11.63%. Age of multigravida women & gestational age were non-significant (p=0.360 & 0.378 respectively) while gravidity, parity were statistically significant effect (p=0.001, 0.023 respectively).
Conclusion: The frequency of placental abruption was not very uncommon in our population of multigravida women therefore; special focus on placental abruption be given during the antenatal visits of such women.