HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME

Objective: To identify the histological morphology of abruptio placentae and comparing it with that of normal placenta of normal pregnancy at term and to compare its impact on fetal outcome. Study Design: A case control study. Place and Duration of Study: The study was conducted at Anatomy Dep...

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Autores principales:	Saima Mumtaz, Toqeer Ahmad Iqbal, Sumiara Abbasi
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	abruptio placenta aph (antepartum hemorrhage) calcification cotyledon diameter in centimeters fibrinoid necrosis syncytial knots Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/cf945a57ec774da2967afc6b29d6b93d
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spelling	oai:doaj.org-article:cf945a57ec774da2967afc6b29d6b93d2021-11-12T04:07:26ZHISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME0030-96482411-8842https://doaj.org/article/cf945a57ec774da2967afc6b29d6b93d2019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3044/2278https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To identify the histological morphology of abruptio placentae and comparing it with that of normal placenta of normal pregnancy at term and to compare its impact on fetal outcome. Study Design: A case control study. Place and Duration of Study: The study was conducted at Anatomy Department of Federal Medical and Dental College in collaboration with Department of Obstetrics and Gynecology, Pakistan Institute of Medical Sciences (PIMS)/Shaheed Zulfiqar Ali Bhutto Medical University Islamabad over a period of eight months, from Jul 2015 to Feb 2016. Material and Methods: Forty mothers with abruptio placentae and forty mothers with normal placentae of normal pregnancy were selected from emergency and outpatient department of Gynecology and Obstetrics Department of PIMS affiliated with Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU) Islamabad. Histological morphology was carried out on these placentae. A case control study with purposive sampling technique was done for comparison between two groups. A structured data collection check list was used to collect the required data. SPSS version 20 and MS Excel were used for statistical analysis. Students T test and Chi- Square tests were applied accordingly to compare the results of two groups, with p-value<0.05 being considered to be statistically significant. Results: We included eight placentae with forty abruption cases and forty normal placentae. Among these frequent age was 26 to 30 years (50%). The mean fibrinoid necrosis was 11.4 ± 2.2 as compared to controlled group 6.1 ± 1.2. The mean syncytial knots of abruption placentae were 49.6 ± 10.2 as compared to normal placentae 30.7 ± 5.6. While the mean area of calcification was 6.3 ± 3.7 in patients compared to 1.1 ± 1.6 in the controls. Abruption placentae had great impact on fetal weight reduction from 3.1 ± 0.6 to 2.2 ± 0.7 and Apgar Score as well. Conclusion: The histomorphological changes in abruptio placentae were statistically significant as compared to control group and lead to poor fetal outcome.Saima MumtazToqeer Ahmad IqbalSumiara AbbasiArmy Medical College Rawalpindiarticleabruptio placentaaph (antepartum hemorrhage)calcificationcotyledondiameter in centimetersfibrinoid necrosissyncytial knotsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 638-643 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	abruptio placenta aph (antepartum hemorrhage) calcification cotyledon diameter in centimeters fibrinoid necrosis syncytial knots Medicine R Medicine (General) R5-920
spellingShingle	abruptio placenta aph (antepartum hemorrhage) calcification cotyledon diameter in centimeters fibrinoid necrosis syncytial knots Medicine R Medicine (General) R5-920 Saima Mumtaz Toqeer Ahmad Iqbal Sumiara Abbasi HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME
description	Objective: To identify the histological morphology of abruptio placentae and comparing it with that of normal placenta of normal pregnancy at term and to compare its impact on fetal outcome. Study Design: A case control study. Place and Duration of Study: The study was conducted at Anatomy Department of Federal Medical and Dental College in collaboration with Department of Obstetrics and Gynecology, Pakistan Institute of Medical Sciences (PIMS)/Shaheed Zulfiqar Ali Bhutto Medical University Islamabad over a period of eight months, from Jul 2015 to Feb 2016. Material and Methods: Forty mothers with abruptio placentae and forty mothers with normal placentae of normal pregnancy were selected from emergency and outpatient department of Gynecology and Obstetrics Department of PIMS affiliated with Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU) Islamabad. Histological morphology was carried out on these placentae. A case control study with purposive sampling technique was done for comparison between two groups. A structured data collection check list was used to collect the required data. SPSS version 20 and MS Excel were used for statistical analysis. Students T test and Chi- Square tests were applied accordingly to compare the results of two groups, with p-value<0.05 being considered to be statistically significant. Results: We included eight placentae with forty abruption cases and forty normal placentae. Among these frequent age was 26 to 30 years (50%). The mean fibrinoid necrosis was 11.4 ± 2.2 as compared to controlled group 6.1 ± 1.2. The mean syncytial knots of abruption placentae were 49.6 ± 10.2 as compared to normal placentae 30.7 ± 5.6. While the mean area of calcification was 6.3 ± 3.7 in patients compared to 1.1 ± 1.6 in the controls. Abruption placentae had great impact on fetal weight reduction from 3.1 ± 0.6 to 2.2 ± 0.7 and Apgar Score as well. Conclusion: The histomorphological changes in abruptio placentae were statistically significant as compared to control group and lead to poor fetal outcome.
format	article
author	Saima Mumtaz Toqeer Ahmad Iqbal Sumiara Abbasi
author_facet	Saima Mumtaz Toqeer Ahmad Iqbal Sumiara Abbasi
author_sort	Saima Mumtaz
title	HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME
title_short	HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME
title_full	HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME
title_fullStr	HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME
title_full_unstemmed	HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME
title_sort	histological study of abruptio placentae in term delivery and its impact on fetal outcome
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/cf945a57ec774da2967afc6b29d6b93d
work_keys_str_mv	AT saimamumtaz histologicalstudyofabruptioplacentaeintermdeliveryanditsimpactonfetaloutcome AT toqeerahmadiqbal histologicalstudyofabruptioplacentaeintermdeliveryanditsimpactonfetaloutcome AT sumiaraabbasi histologicalstudyofabruptioplacentaeintermdeliveryanditsimpactonfetaloutcome
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HISTOLOGICAL STUDY OF ABRUPTIO PLACENTAE IN TERM DELIVERY AND ITS IMPACT ON FETAL OUTCOME

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