Clinical Retrospective Analysis 95 Cases Of Placental Abruption

Purpose:A retrospective analysis of patients with different degrees of placental abruption predisposing factors, clinical symptoms and signs, treatment, maternal and perinatal outcomes, so that a better understanding of placental obstetrician to provide reference for clinical diagnosis and treatment in order to reduce maternal and child harm, reduce maternal, perinatal mortality.Method(process):2012.01-2014.04 and clinical data confirmed 95 cases of placental abruption treated patients were analyzed retrospectively. Clinical Emergency coping strategies, and refer to the relevant literatures reported that analysis of the predisposing factors, clinical symptoms and signs, maternal outcome.Result:(1) The data show that there is a major cause of maternal placental vascular disease,intrauterine pressure drop, gestational diabetes, mechanical factors, and other high-risk factors. Which is a major cause of pregnancy-induced hypertension accounted for49.47%, is induced placental abruption the most important incentives to premature rupture of the main incentives accounted for 12.60%, is another risk factor-induced placental abruption occurred to gestational diabetes is a major cause accounted for 7.35 percent, induce abruption first three risk factors.(2) predisposing factors in this group of patients Ⅲ placental abruption, there are three cases are caused by trauma, including two cases is due to the large amount of vaginal bleeding after intercourse during pregnancy, then emergency admission uterine segment cesarean section, maternal and child a good outcome. One case is due to the persistent lower abdominal pain occurs when the laundry with a washboard, then emergency admission, immediately open the fluid path, monitoring vital signs, and actively with blood, vaginal delivery after a stillbirth.(3) 95 cases of placental maternal mode of delivery were no statistically significant(χ2 = 3.173, P> 0.05). However, according to clinical data show, Ⅰ degree of placental abruption Most patients diagnosed with postpartum, cesarean section reasons for their choice mostly due to the pregnant women with severe diseases, such as severe preeclampsia, gestational diabetes, etc., required to terminate the pregnancy as soon as possible and facilities, and degree Ⅱ, Ⅲ degree of placental abruption is due to the time of admission that is manifested as abdominal pain and a lot of vaginal bleeding,contractions continued non-stop, consider abruption and facilities.(4) 95 cases of placental abruption patients, 16 cases of perinatal death, neonatal asphyxia 8 cases, 38 cases of premature birth. Degree Ⅰ, Ⅱ degree, Ⅲ degree in patients with placental abruption, preterm birth rate, neonatal asphyxia, perinatal mortality was statistically significant difference(P <0.05).Conclusions:(1) Pregnancy-induced hypertension disease is the leading cause of placental abruption. in line with the relevant literature. Strengthen pregnancy education and regular check-ups, timely detection and treatment of pregnancy induced hypertension, placental abruption is an important factor in reducing the occurrence of disease.(2) Middle and late pregnancy to avoid sex and trauma, can reduce the incidence of placental abruption.(3) For the general good in the short term may be a vaginal birth Ⅰ degree of placental abruption can choose vaginal trial production, if necessary cesarean section under careful monitoring.(4)The more severe the degree of placental abruption, higher infant mortality and asphyxia, therefore, early diagnosis and timely treatment of placental abruption help ensure the survival of newborns.